During a routine visit at the pediatrician’s office, the mother of a 4-year-old states, “After he falls asleep, he cries and screams for what feels like hours, but it is only about 15 minutes. When I can wake him up, he has no recall of the event.” The nurse’s best response is:  

Case 4 (use this case to answer the 5 questions that follow) Name: Ash L Age: 25 Gender: Female   Medical History: Diagnosed with schizophrenia 9 months ago. No known history of cardiovascular disease, hypertension, or diabetes. Not pregnant. Family History: migraines (maternal side), schizophrenia (uncle, cousin)  Chief Complaint: Recurrent severe headaches, weight gain and fatigue with quetiapine. Presenting Concerns: Ash presents with a history of recurring headaches, lasting 4 to 48 hours, characterized by pulsating pain on the right side of her head. These episodes are accompanied by nausea, photophobia, and phonophobia and she denies any aura-like symptoms. She reports a history of similar headaches since adolescence, but they have increased in frequency and severity over the past six months. Usually takes Naproxen 220 mg at headache onset, often repeats dose every 12 hours and sleeps to get relief.  Neuro exam within normal limits. No signs of fever, meningeal irritation, or focal neurological deficits. All blood work is within normal limits. Her headache diary indicates episodic occurrences lasting 1-2 days, increasing from two headaches a month to about one every week where she needs to stop everything and rest.  Ash has been taking quetiapine for schizophrenia for the last 7 months and it is working well to control hallucinations and delusions. She is employed and living independently. Her mood is good, but she has been overly tired and has gained weight since starting quetiapine which she does not like. She would like to discuss stopping quetiapine. Prior to quetiapine she was prescribed risperidone but had to stop it due to hyperprolactinemia.  Current medications: Quetiapine XR 400mg daily at bedtime Naproxen 220mg as needed for headaches   Social History: Non-smoker, occasional alcohol consumption

 Elenca alcuni tipi di clausole nei contratti? (3pts)

At a basic level, drugs may impact various stages of sexual function by impacting various hormones and or neurotransmitters. Some of these effects may inhibit sexual function, while some may promote sexual function. With that in mind, which of the following experimental drugs might you anticipate would have POSITIVE (stimulatory) effects on sexual function? (SELECT ALL THAT APPLY)

Il governo Monti __________________ (introdurre) il divieto di doppio incarico nelle banche.

The nurse is caring for a hospitalized 2-year-old client. To include tactile stimulation in the plan of care, the nurse    

The nurse is visiting with the mother of a child aged 20 months. The mother reports concern about the frequency of the toddler’s loud outbursts of temper and saying, “No.” The nurse recalls Erikson’s theory about negativism and tells the mother which of the following?  

Elenca alcuni titoli di credito. (2pts)

Which of the following orders would necessitate immediate clarification by the nurse?    

S.r.l