The patient has generalized anxiety disorder. He asks the nurse, 'Will I need medication for this? My neighbor is very nervous and he takes medication.' What is the best response by the nurse?

Correct Answer: D

Rationale: Medication for GAD (e.g., SSRIs) is warranted when anxiety disrupts daily function-quality of life-not universally or compared to others, a tailored approach. Meds as lifestyle is extreme. Initial meds then therapy assumes progression, not individual need. ‘Probably not' dismisses severity. Quality of life guides treatment, per guidelines.

Correct Answer: C

Rationale: Irradiation of donor blood is a standard practice to prevent graft-versus-host disease (GVHD) in immunocompromised patients. Irradiation inactivates the donor's lymphocytes, preventing them from attacking the recipient's tissues. Diphenhydramine and acetaminophen are used to manage allergic reactions or fever but do not prevent GVHD. Administering the transfusion slowly does not address the risk of GVHD. Therefore, irradiation is the correct preventive measure.

Correct Answer: B

Rationale: The presence of small crystals in the IV tubing indicates that the mannitol solution is not suitable for administration due to the risk of causing adverse effects to the patient. Discarding the solution and obtaining a new bag of medication is the most appropriate action to ensure the safety and effectiveness of the infusion. Infusing a solution with crystals can lead to complications such as embolism or tissue damage. It is important to always verify the integrity and clarity of IV solutions before administration to prevent potential harm to the patient.

Correct Answer: D

Rationale: Valproate is a medication commonly used to treat seizures and prevent migraine headaches. It acts by suppressing seizure activity and stabilizing electrical activity in the brain. Valproate is a broad-spectrum anticonvulsant drug that can be an effective treatment for epilepsy and migraine prophylaxis. It works by increasing the levels of gamma-aminobutyric acid (GABA), a neurotransmitter that inhibits brain activity, thus reducing the frequency and severity of seizures and migraine attacks. Glipizide is an oral antidiabetic drug used to treat type 2 diabetes, hydrochlorothiazide is a diuretic used to treat high blood pressure, and atropine is a medication with various uses, including dilating the pupils and reducing secretions during surgery.

Correct Answer: A

Rationale: Fetal alcohol syndrome (FAS) from alcohol causes growth restriction, microcephaly, flat midface, and cardiac defects. Cocaine , Marijuana , Opioids , and Tobacco (E) don't fully match. Alcohol's teratogenicity explains the infant's features.