You have a 26-year-old patient on lisdexamfetamine (Vyvanse)…

You have a 26-year-old patient on lisdexamfetamine (Vyvanse) 70 mg daily in the morning for ADHD. The patient comes to your office with feeling like the lisdexamfetamine (Vyvanse) is wearing off by about 1 pm. The patient initially takes the vyvanse at 7 am. The patient tells you they took a second lisdexamfetamine (Vyvanse) 70 mg in the afternoon and it worked really well and they would like to change their script to lisdexamfetamine (Vyvanse) 70 mg twice daily. What is your next best option? 

You have just completed reviewing a muscle test performed by…

You have just completed reviewing a muscle test performed by the therapist with whom you are working. The patient was positioned with gravity eliminated, and he was able to complete 50% of the available shoulder abduction range. The muscle testing grade should have been:

A 10-week-old infant is treated in the emergency department…

A 10-week-old infant is treated in the emergency department with  3 days of rhinorrhea, congestion, and cough. Siblings are ill, and the infant is unable to breastfeed. In the emergency department, the infant is treated with nasal suctioning and  blow by oxygen at 100%. The vitals are:  Temperature: 99.2 °F Heart rate: 178 beats/min Respirations: 65 breaths/min Oxygen saturation: 92% (on room air) Albuterol is given for wheezing but has no effect on reducing the wheezing. A chest x-ray is ordered. The infant improves slightly with a decreased respiratory rate but still has significant nasal congestion. Rapid laboratory testing for respiratory viral panels is positive for Respiratory Syncytial Virus (RSV). The infant is admitted to the pediatric unit for ongoing care. Which of the following complication does the nurse anticipate?  (select all that apply)  

A basketball athlete comes to the AT facility two weeks afte…

A basketball athlete comes to the AT facility two weeks after the season starts complaining of knee pain. She complains of anterior knee pain over the tibial tuberosity that increases as she gets further into practice, especially with squatting and jumping activities. She does not show a decrease in strength. She reports that her pain decreases following some rest, but she is at a point now where practicing is difficult secondary to pain. What injury do you suspect?