Nokea
A 6-year-old child complains of bilateral thigh pain, motor weakness, and some sensory deficits of both lower limbs; he has a history of bladder dysfunction over the past 2 weeks; MRI of the spinal cord shows a mass arising from the filum terminale and conus medullaris causing some pressure effect. A CNS tumor is suspected. Which of the following tumor is MOST likely arising in such site?
- A. medulloblastoma
- B. anaplastic astrocytoma
- C. myxopapillary ependymoma
- D. choroid plexus carcinoma
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
Which of the ff. statements does the nurse understand is true concerning air conduction of sound in the ear?
- A. It is caused by the vibration of bones in the skull.
- B. It is less efficient than bone conduction.
- C. It is heard longer than bone conduction.
- D. It is caused by transmission of heat through the air.
Correct Answer: B
Rationale: Air conduction of sound in the ear involves the transmission of sound waves through the air from the outer ear canal to the middle ear, where they cause the tympanic membrane (eardrum) to vibrate. These vibrations are then transmitted through the ossicles (tiny bones in the middle ear) to the inner ear, where they ultimately stimulate the hair cells in the cochlea to create the auditory nerve impulses. While air conduction is the most common method of sound transmission, it is less efficient than bone conduction. Bone conduction is the transmission of sound vibrations directly to the inner ear through the bones in the skull. This method bypasses the outer and middle ear and is often more efficient in conducting sound, especially at higher frequencies or in individuals with hearing loss related to the outer or middle ear.
If a client's parathyroid glands were accidentally removed during a procedure, which condition should the nurse prepare for?
- A. Hypomagnesemia
- B. Hyperkalemia
- C. Hypernatremia
- D. Hypocalcemia
Correct Answer: D
Rationale: The parathyroid glands play a crucial role in regulating calcium levels in the body. If the parathyroid glands are accidentally removed during a procedure, the patient is at risk for developing hypocalcemia due to the lack of parathyroid hormone (PTH) production. PTH helps to maintain normal calcium levels in the blood by stimulating the release of calcium from the bones, increasing calcium absorption in the intestines, and reducing calcium excretion by the kidneys. Without PTH, the body's ability to regulate calcium is impaired, leading to low calcium levels, which is known as hypocalcemia. Symptoms of hypocalcemia can include muscle cramps, spasms, and tingling sensations. Nurses should be prepared to monitor for and manage hypocalcemia in a patient who has had their parathyroid glands accidentally removed during a procedure.
Which issue is associated with globalization?
- A. Decreased international trade
- B. Cultural homogenization
- C. Isolationist policies
- D. Local market growth
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which nursing diagnosis takes highest priority for a client with hyperparathyroidism?
- A. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess
- B. Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing
- C. Body image disturbance related to weight gain and edema
- D. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
Correct Answer: B
Rationale: Among the listed nursing diagnoses, the highest priority for a client with hyperparathyroidism would be addressing the risk for impaired skin integrity. This is because hyperparathyroidism can lead to increased levels of calcium in the blood, which can result in skin issues such as edema (swelling), skin fragility, and poor wound healing. Addressing this risk is crucial to prevent skin breakdown, infections, and other complications associated with compromised skin integrity. Proper wound care, skin protection measures, and monitoring for any skin changes are essential in managing this priority nursing diagnosis for a client with hyperparathyroidism.
The healthcare provider is providing teaching about Social Development to the parents of a preschooler. Which of the following play activities should the provider recommend for the child?
- A. Playing pat-a-cake
- B. Using a push-pull toy
- C. Creating a scrapbook
- D. Playing dress-up
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.