The nurse is assessing a client who exhibits spontaneous spasm of the fingers or toes, mouth twitching or jaw tightening when he taps the cheek anteriorly to the earlobe. What sign does the nurse identify to document in the chart that is consistent with tetany?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: B

Rationale: The correct answer is B: How do you feel about yourself? This question is important because hirsutism, excessive hair growth in women, can have significant psychological implications affecting self-esteem and body image. By asking how the client feels about herself, the nurse can address emotional and mental health concerns related to hirsutism. A: How do you plan to pay for your treatments? This question is not directly related to the client's emotional well-being and does not address the psychological impact of hirsutism. C: What medications are you prescribed? This question focuses on the medical management of hirsutism but does not address the client's emotional response to the condition. D: What are you doing to prevent this from happening? This question is more about preventive measures for hirsutism rather than addressing the client's feelings and self-perception.

Correct Answer: B

Rationale: The correct answer is B: Amphetamine. Amphetamine is a stimulant commonly used to treat symptoms of ADHD as it helps improve focus, impulse control, and hyperactivity. It works by increasing the levels of certain neurotransmitters in the brain. Dobutamine (A) is a different type of stimulant used for heart conditions. Pancuronium (C) is a muscle relaxant used during surgery, and Prazosin (D) is an alpha-blocker used for high blood pressure and PTSD nightmares. Therefore, Amphetamine is the most likely drug to be effective for relieving the boy's main symptoms of ADHD.

Correct Answer: D

Rationale: The correct answer is D: Propranolol. Propranolol is a beta-blocker that is commonly used for migraine prophylaxis. It helps reduce the frequency and severity of migraines by blocking the action of adrenaline on blood vessels in the brain. In this case, the patient has elevated blood pressure and migraines, so starting her on propranolol can address both issues effectively. Choice A: Clonidine is an alpha-2 agonist used for hypertension, but it is not commonly used for migraine prophylaxis. Choice B: Prazosin is an alpha-1 blocker primarily used for the treatment of hypertension, but it is not typically used for migraine prophylaxis. Choice C: Hydrochlorothiazide is a diuretic used for hypertension by reducing blood volume, but it is not effective for migraine prophylaxis. In summary, propranolol is the most appropriate choice as it addresses both the elevated blood pressure and the recurrent

Correct Answer: D

Rationale: The correct answer is D because parathion is not a parasympathomimetic drug; it is an organophosphorus insecticide. Physostigmine (A), Neostigmine (B), and Edrophonium (C) are all parasympathomimetics used for their respective therapeutic purposes. Physostigmine is used in glaucoma to reduce intraocular pressure, Neostigmine is used to treat postoperative urinary retention by improving bladder emptying, and Edrophonium is used in the diagnosis of myasthenia gravis by temporarily improving muscle strength. In contrast, parathion is not a medication but a toxic substance used in insecticides, and it does not have any therapeutic use as a parasympathomimetic drug.