Sara, a 14-year-old, has come to the office for her school physical. She is very remote, moody, and unwilling to answer any questions you ask her as part of her physical exam. She seems to have changed a great deal in the past year, and is thinner, more unkempt, and lethargic. You notice also that her mother is constantly badgering her and rolling her eyes in exasperation at her lack of cooperation. What could you do to facilitate the examination and improve communication with Sara? What possible problems could Sara be experiencing? What should you do about the concerns that you have for Sara?

Anurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. which of the following statements by the client indicates an understanding of the teaching? a. “i can take two aspirin to treat headaches.” b. “i should avoid dairy products when taking this medication.” c. “i can expect fine hand tremors when taking this medication.” d. “i should not take an antacid within 1 hour of taking this medication.”

Aclient’s transdermal fentanyl was discontinued 2hr ago due to adverse effects. which of the following findings is the priority for the nurse to document? a. heart rate b. respiratory rate c. bowel sounds d. activity level

Mr. wayne is a 38-year-old man with a significant history of elevated cholesterol levels. his father died at age 42 from a massive heart attack secondary to elevated cholesterol and triglycerides, and two of his older siblings are currently taking medications to lower their cholesterol levels. mr. wayne makes an appointment to discuss his risk for hypercholesterolemia. the nurse recognizes that mr. wayne is at risk for familial hypercholesterolemia because this is an autoomal dominant inherited condition. a. describe the pattern of autosomal dominant inheritance. b. mr. wayne asks what chance his children have of developing familial hypercholesterolemia. how should the nurse respond? c. explain the phenomenon of penetrance observed in autosomal dominant inheritance.