The Primary Care NP Has Referred a Child Who Has

question 8

Multiple Choice

The primary care NP has referred a child who has significant gastrointestinal reflux disease to a specialist for consideration for a fundoplication and gastrostomy tube placement.The child's weight is 80% of what is recommended for age,and a recent swallow study revealed significant risk for aspiration.The child's parents do not want the procedure.The NP should:

• A) compromise with the parents and order a nasogastric tube for feedings.
• B) initiate a discussion with the parents about the potential outcomes of each possible action.
• C) refer the family to a case manager who can help guide the parents to the best decision.
• D) understand that the child's parents have a right to make choices that override those of the medical team.

Recognize the physiological responses to drugs and natural stimuli, focusing on neurotransmitter levels and receptor site interaction.

Comprehend how exercise and natural stimuli can modify neurotransmitter activity and influence physical and mental health.

Understand the immediate reflex actions of the nervous system and their importance for survival.

Understand the purpose and process of notice-and-comment rulemaking.

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Definitions:

Crude Oil Reserves

Quantities of extractable oil from the earth, estimated based on geological and engineering data, indicating potential resources for future exploitation.

Atomic Bomb

A weapon of mass destruction that releases its destructive energy through nuclear reactions of fission or fusion, causing significant devastation and loss of life.

Hydrocarbons

Organic compounds composed entirely of hydrogen and carbon, commonly found in fossil fuels and used as a primary energy source.

Nonrenewable Fossil Fuels

These are fuels like coal, oil, and natural gas, derived from the decomposed remains of plants and animals, that cannot be replenished within a human time scale.