Nokea
A 5-year-old child, recently diagnosed with ileocecal Burkitt lymphoma; lab investigations reveal: serum uric acid 12 mg/dl, serum sodium, 145 meq/dl; serum potassium, 4.5 meq/dl; serum phosphate 4.4 meq/dl; serum calcium, 8.9 mg/dl; blood urea, 22 mg/dl; serum creatinine, 0.8 mg/dl. Of the following, the MOST effective treatment is
- A. excessive hydration
- B. sodium bicarbonate
- C. xanthine oxidase inhibitor
- D. recombinant urate oxidase
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
When providing teaching to the family of a school-age child with juvenile idiopathic arthritis, which instruction should the nurse include?
- A. Limit the child's movement of the large joints.
- B. Encourage the child to perform independent self-care.
- C. Provide the child with a soft mattress for sleeping.
- D. Schedule a 2-hour daily nap for the child in the afternoon.
Correct Answer: B
Rationale: Encouraging the child to perform independent self-care is essential when managing juvenile idiopathic arthritis. This instruction helps minimize pain and stiffness in the child's joints while promoting mobility and independence. It is crucial for the child to learn self-management skills early to cope better with the condition in the long term.
Normal values (reference intervals) are difficult to establish within the pediatric population. Many variables should be considered when developing reference intervals. All the following are variables that commonly considered to define reference intervals EXCEPT
- A. genetic composition
- B. physiologic development
- C. environmental influences
- D. subclinical disease
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 2-mo-old male infant has a left flank mass discovered incidentally by the mother; radiological imaging reveals a left renal mass. Of the following, the MOST likely diagnosis is
- A. nephroblastoma
- B. neuroblastoma
- C. mesoblastic nephroma
- D. clear cell sarcoma
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
All the following are cholesterol risk screening recommendations EXCEPT
- A. family history of obesity
- B. personal history of diabetes
- C. family history of heart disease
- D. family history of high cholesterol
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare provider is assessing the pain level of a three-year-old toddler. Which of the following pain assessment scales should the healthcare provider use?
- A. FACES Pain rating scale
- B. Numeric pain rating scale
- C. CRIES pain assessment scale
- D. Non-communicating children's pain checklist
Correct Answer: A
Rationale: The healthcare provider should use the FACES pain rating scale for pediatric clients who are 3 years old and older. This scale allows the toddler to point to the face that depicts the current level of pain, making it a suitable choice for non-verbal or young children who may have difficulty expressing their pain verbally.