Nokea
A child is being discharged from an ambulatory care center after an inguinal hernia repair. Which discharge interventions should the nurse implement? (Select all that apply.)
- A. Discuss dietary restrictions.
- B. Hold any analgesic medications until the child is home.
- C. Send a pain scale home with the family.
- D. Suggest the parents fill the prescriptions on the way home.
Correct Answer: A
Rationale: Discuss dietary restrictions: It is important to provide the family with information regarding any dietary restrictions that the child may have post-surgery to ensure proper healing and comfort.
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A client with cancer is scheduled for radiation therapy. The nurse knows that radiation at any treatment site may cause a certain adverse effect. Therefore, the nurse should prepare the client to expect:
- A. Hair loss.
- B. Fatigue.
- C. Stomatitis.
- D. Vomiting.
Correct Answer: A
Rationale: Radiation therapy works by targeting rapidly dividing cells in the body, which includes not only cancer cells but also healthy cells. Hair loss, also known as alopecia, is a common side effect of radiation therapy because the hair follicles are fast-growing cells that can be affected by the radiation. The extent of hair loss can vary depending on the dose and area of the body being treated. It is essential for nurses to prepare clients for the possibility of hair loss during radiation therapy and provide support and information on managing this side effect.
A child is brought to your clinic for a routine exam. She can dress with help, can ride a tricycle, knows her own age, and can speak in short sentences. She had difficulty in copying a square. The age of this child is most likely:
- A. 1 year
- B. 2 years
- C. 3 years
- D. 4 years
Correct Answer: C
Rationale: At 3 years, children typically have the ability to dress with assistance, ride a tricycle, know their age, and speak in short sentences. Copying a square usually occurs later, around 4 years of age.
The MOST common cause of obstructive sleep apnea in children is
- A. obesity
- B. allergies
- C. adenotonsillar hypertrophy
- D. pharyngeal reactive edema due to gastroesophageal reflux
Correct Answer: C
Rationale: Adenotonsillar hypertrophy is the leading cause of obstructive sleep apnea in children.
A 12-year-old male adolescent, recently diagnosed with Hodgkin lymphoma, shows left cervical and supraclavicular lymph node involvement and drenching night sweats. Based on Ann Arbor Classification, the patient is classified as
- A. stage IA
- B. stage IB
- C. stage IIA
- D. stage IIB
Correct Answer: D
Rationale: Involvement of two lymph node regions above the diaphragm with systemic symptoms corresponds to stage IIB.
Biopsy is not usually performed for a child with suspicion of Wilms tumor EXCEPT
- A. age of 2-3 year
- B. signs of inflammation or infection
- C. significant lymph node enlargement radiologically
- D. intratumoral calcification radiologically
Correct Answer: D
Rationale: Presence of intratumoral calcifications may warrant biopsy to rule out other diagnoses.