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A 13 year old male  is being seen for a yearly physical has a blood pressure of 132/84.  At the last visit, one year ago, his blood pressure was normal.  He denies any symptoms. The initial management would be

In the chapter section on acid/base properties of salt solutions, you learned that protonated forms of weak bases can act as weak acids.  Given that for ammonia, NH3, Kb = 1.8 x 10-5, calculate the pH of a 0.2 M solution of NH4Br. Hint: NH4Br dissociates 100% in water and acts as a weak acid (NH4+). This is therefore a weak acid pH calculation with given Kb instead of Ka. 

A 10-year-old child has just been diagnosed with Kawasaki Disease. The nurse practitioner understands which action to be important? 

A 5-year-old child who had a repair for transposition of the great arteries shortly after birth is growing normally and has been asymptomatic since the surgery. The nurse practitioner notes mild shortness of breath with exertion and, upon questioning, learns that the child has recently had a syncopal episode. What will the nurse practitioner do?  

The parent of a toddler and a 4-week-old infant tells the nurse practitioner that the toddler has just been diagnosed with pertussis, and the infant has started with a cough. What is the best course of action for the infant?  

abd pain

Wade is a call center shift leader at an insurance company. This company employs all its employees on an at-will basis. He manages a team of five employees consisting of both males and females. Unfortunately for his team, Wade has significant anger issues and often berates all of the employees on his team, calls them “idiots,” “extremely dumb,” and “morons,” and Wade throws chairs, computer monitors, and reams of paper at the employees whenever they do not meet or exceed his unrealistic and physically impossible productivity goals. This pattern of behavior has been going on for almost nine months and occurs at least twice a week. The employees on his team have, several times, respectfully asked Wade to stop this behavior, but he either threatens to fire them or ignores them and laughs at them. Renee, a female employee of Wade’s team, believes that she may have a Title VII claim. Which of the following statements best describes this scenario?

The nurse practitioner manages care in conjunction with a pediatric pulmonologist for a child with cystic fibrosis. Reinforcement about which therapy is important? 

A 2-month-old infant who was previously healthy now has a persistent cough, bilateral lung crackles, and poor appetite. The nurse practitioner auscultates a grade IV-V harsh, high pitched,  holosystolic murmur at the left lower sternal border.  What diagnosis is likely?