Nokea
A child has Wilms' tumor and is scheduled for surgery. Which of the following actions should the nurse include in the plan of care?
- A. Palpate the child's abdomen daily for tumor size.
- B. Reposition the child frequently.
- C. Prepare the child for chemotherapy.
- D. Avoid palpating the abdomen.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A healthcare professional is assessing a child who has nephrotic syndrome. Which of the following findings should the healthcare professional expect?
- A. Hypotension
- B. Hyperglycemia
- C. Facial edema
- D. Weight gain
Correct Answer: D
Rationale: In nephrotic syndrome, there is increased permeability of the glomerular filtration barrier, leading to protein loss in the urine. This results in hypoalbuminemia, causing fluid retention and edema. Therefore, weight gain due to fluid retention is a common finding in children with nephrotic syndrome.
Which causes the symptoms in testicular torsion?
- A. Twisting of the spermatic cord interrupts the blood supply.
- B. Swelling of the scrotum displaces the testis.
- C. Unmanaged undescended testes cause displacement.
- D. Microthrombi in the cord cause blockage.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is
- A. refer her to an obstetrician
- B. explain the way of milk expression
- C. apply Edinburgh postnatal depression scale
- D. advise her on milk engorgement
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A caregiver is learning about administering digoxin to a toddler. Which statement by the caregiver indicates an understanding of the teaching?
- A. I will mix the medication with a small amount of juice.
- B. I will give the medication with meals.
- C. I will give a second dose if my child vomits.
- D. I will give my child water after giving the medication.
Correct Answer: D
Rationale: The correct statement is D because giving the child water after administering digoxin helps ensure the medication is swallowed properly. Mixing the medication with juice (choice A) may affect its absorption. Giving the medication with meals (choice B) may interfere with its effectiveness. Administering a second dose if the child vomits (choice C) is not recommended as it may lead to an overdose.
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.