Nokea
A 9-mo-old infant is recently diagnosed with bilateral retinoblastoma; examination under anesthesia reveals bilateral multifocal involvement of the retina. An important next step in the management is
- A. radiotherapy of both eyes
- B. retinal examination of 1st degree relatives
- C. orbital ultrasonography
- D. bilateral enucleation
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is preparing to administer a daily dose of digoxin. What is the priority nursing intervention?
- A. Analyze HR and rhythm
- B. Assess for Homan’s sign
- C. Check BP
- D. Palpate the pedal pulses
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional is planning care for an infant with hyperbilirubinemia receiving phototherapy. Which of the following actions should the healthcare professional include in the plan?
- A. Dress the infant in light, breathable clothing.
- B. Turn and reposition the infant every 4 hours.
- C. Offer the infant frequent, small feedings.
- D. Avoid using lotions on the infant's skin.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is providing dietary teaching to the parent of a school-age child with cystic fibrosis. Which of the following statements should the nurse make?
- A. You should offer your child high-protein meals and snacks throughout the day
- B. Your child should decrease dietary fats to less than 10% of their caloric intake
- C. Your child will need to take a 1-gram sodium chloride tablet daily throughout their lifetime
- D. You should calculate your child's carbohydrate needs based on their daily activities
Correct Answer: A
Rationale: The parent should provide a well-balanced diet that is high in protein and calories for a child with cystic fibrosis. This diet helps meet the child's increased energy requirements. Offering high-protein meals and snacks throughout the day is essential to ensure adequate nutrition and energy intake for children with cystic fibrosis.
Which child does not need a urinalysis to evaluate for a UTI?
- A. A 4-month-old female with fussiness, poor appetite, T 100.8°F, HR 120.
- B. A 4-year-old female with dysuria and frequent urination; vitals are normal.
- C. An 8-year-old male with a history of ureteral reimplantation but no current symptoms.
- D. A 12-year-old female with lower right back pain and T 101.5°F.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which assessment finding, after the dialysate is drained during peritoneal dialysis for a child experiencing acute renal failure, would warrant further action by the nurse?
- A. The dialysate is clear upon return.
- B. The volume of drained dialysate is less than the volume infused.
- C. The child is restless and eager to play.
- D. The child's vital signs remain consistent with those noted during infusion.
Correct Answer: B
Rationale: A lower volume of drained dialysate compared to the volume infused suggests a possible obstruction or malfunction in the dialysis process. This finding could compromise the effectiveness of the treatment and needs prompt assessment and intervention by the nurse to ensure the child's safety and well-being.