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A healthcare professional is reviewing the laboratory results of a child who has nephrotic syndrome. Which of the following findings should the professional expect?
- A. Hypoalbuminemia
- B. Hyperkalemia
- C. Polyuria
- D. Hyperglycemia
Correct Answer: A
Rationale: In nephrotic syndrome, there is excessive loss of protein in the urine, leading to hypoalbuminemia. This results in decreased oncotic pressure, causing fluid to shift into the interstitial spaces, leading to edema. Hyperkalemia, polyuria, and hyperglycemia are not typically associated with nephrotic syndrome.
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You are meeting with parents of a 10-year-old child who recently develops acute lymphoblastic leukemia (ALL). Which of the following is LEAST likely to increase the risk of CNS relapse in children with ALL?
- A. first traumatic lumbar puncture (LP)
- B. T-cell leukemia
- C. cranial nerve involvement at the time of diagnosis
- D. presence of lymphoblast in the CSF at any time during treatment
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
All the following are characteristic of retinal hemorrhage caused by abusive head trauma (AHT) EXCEPT
- A. multiple
- B. involve more than one layer of the retina
- C. central
- D. traumatic retinoschisis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The correct site of the paddles of the defibrillator is
- A. At the apex and lower end of sternum
- B. At the apex and the right infraclavicular area
- C. At the apex and the left parasternal area
- D. At the apex and the left infraclavicular area
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The therapeutic effect of phototherapy depends on the following factors EXCEPT
- A. distance between the lights and the infant
- B. skin color
- C. surface area of exposed skin
- D. in vivo metabolism and excretion of bilirubin
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A parent of a child with celiac disease is receiving teaching from a nurse. Which of the following statements should the nurse make?
- A. You should give your child vitamin supplements that contain iron.
- B. Your child will need a gluten-free diet.
- C. Your child should consume large amounts of dietary fiber.
- D. Your child can resume eating whole wheat bread.
Correct Answer: B
Rationale: The correct answer is B. Celiac disease requires a strict gluten-free diet to manage the condition effectively. Gluten-containing foods like wheat, barley, and rye must be avoided to prevent intestinal damage and symptoms in individuals with celiac disease. Therefore, the nurse should emphasize the importance of a gluten-free diet to the parent of the child with celiac disease.