Nokea
A 6-year-old male child presented with a cerebellar mass; after undergoing complete surgical resection of the mass, the histology of the mass reveals pilocytic astrocytoma. Of the following, the MOST appropriate next step in the management is
- A. radiotherapy
- B. chemotherapy
- C. observation
- D. concomitant chemo-radiotherapy
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A patient with Parkinson’s disease who takes levodopa/carbidopa (Sinemet) comes to the clinic for a semi-annual physical examination. Which question is the most important for that nurse to ask?
- A. Have you noticed any swelling in your feet?
- B. Are you having vivid dreams or hallucination?
- C. Have you noticed any changes in your stool?
- D. Have you had your flu vaccine?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which statement made by a parent of a child with nephrotic syndrome indicates an understanding of discharge teaching?
- A. I will make sure he gets his measles vaccine as soon as he gets home.
- B. He can stop taking his medication next week.
- C. I should check his urine for protein when he goes to the bathroom.
- D. He should eat a low-protein diet for the next few weeks.
Correct Answer: C
Rationale: In nephrotic syndrome, monitoring urine for protein is essential as it helps track the child's condition. Checking urine for protein should be done as part of the discharge teaching to keep a record of the child's urinary proteins and to monitor the effectiveness of the treatment plan. It is crucial for parents to understand this aspect of care to ensure proper management of the child's condition.
The BEST car safety issues for a 3-year-child is
- A. vehicle seat belt
- B. rear-facing safety seat
- C. forward-facing car seat
- D. lap and shoulder seat belts
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A preschooler is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should be taken prior to the procedure?
- A. Apply topical antimicrobial ointment to the child's wound
- B. Place a mesh gauze dressing over the child's wound
- C. Administer an analgesic to the child
- D. Initiate prophylactic antibiotic therapy for the child
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A parent of a child with cystic fibrosis is being taught about dietary guidelines. Which statement by the parent indicates an understanding of the teaching?
- A. My child should eat a high-calorie, high-protein diet.
- B. My child should avoid eating eggs.
- C. My child should follow a low-fat, low-sodium diet.
- D. My child should follow a high-fiber, high-protein diet.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.