Pediatrics Baby Fell off Bed Questions

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A client in the final stages of terminal cancer tells the nurse: "I wish I could be just be allowed to die. I'm tired of fighting this illness. I have lived life a good life. I only continue my chemotherapy and radiation treatment because my family wants me to." What is the best nurse's best response?

  • A. "Would you like to talk to a psychologist about your thoughts and feelings?"
  • B. "Would you like to talk to your minister about the significance of death?"
  • C. "Would you like to meet with your family and your physician about this matter?"
  • D. "I know you are tired of fighting this illness, but death will come in due time."
Correct Answer: A

Rationale: The best response for the nurse to provide in this situation is to offer the client the option to talk to a psychologist about their thoughts and feelings. This demonstrates the nurse's understanding and compassion towards the client's emotional struggles and the complexity of their situation. By suggesting a professional to talk to, the nurse can provide the client with the appropriate support and guidance to help them navigate their feelings of wanting to be allowed to die. It also allows the client to voice their concerns and emotions with a trained professional who can offer them coping strategies and support tailored to their individual needs.

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Which manifestation is more specific to occur in anaplastic large cell lymphoma (ALCL) than other types of non-Hodgkin lymphoma?

  • A. primary bone marrow involvement
  • B. intestinal involvement
  • C. CNS involvement
  • D. primary mediastinal involvement
Correct Answer: D

Rationale: Primary mediastinal involvement is a hallmark feature of ALCL.

Which is the name of the suture separating the parietal bones at the top center of a newborn's head?

  • A. Frontal
  • B. Coronal
  • C. Sagittal
  • D. Occipital
Correct Answer: C

Rationale: The suture separating the parietal bones at the top center of a newborn's head is called the sagittal suture. This suture runs along the top of the skull from front to back, connecting the two parietal bones. It is one of the major cranial sutures that allows for the flexibility and growth of the skull during infancy and childhood.

The beta subunit of human chorionic gonadotropin (HCG) is a useful surface marker in some malignant germ cell tumors (GCTs); it is secreted by syncytiotrophoblasts. In which of the following GCTs this surface marker is characteristically elevated?

  • A. teratoma
  • B. germinoma
  • C. endodermal sinus tumor
  • D. embryonal carcinoma
Correct Answer: D

Rationale: Embryonal carcinoma is strongly associated with elevated beta-HCG levels.

A 2-year-old child is being evaluated for a right flank mass; radiological appearance is consistent with rupture of Wilms tumor. The BEST therapeutic approach for this child is

  • A. radiotherapy
  • B. concomitant chemotherapy-radiotherapy
  • C. another surgery
  • D. observation
Correct Answer: B

Rationale: Concomitant chemotherapy and radiotherapy are essential to manage ruptured Wilms tumor and reduce the risk of dissemination.

Which of the ff. interventions can help minimize complications related to Hypercalcemia?

  • A. Encourage 3 to 4 L of fluid daily
  • B. Place the patient on bed rest
  • C. Have the patient cough and deep
  • D. Apply heat to painful areas breathe every 2 hours
Correct Answer: A

Rationale: Encouraging a high fluid intake, typically around 3 to 4 liters daily, is an intervention that can help minimize complications related to hypercalcemia. Adequate hydration helps prevent the formation of kidney stones, a common complication of hypercalcemia. The increased fluid intake can also promote renal excretion of excess calcium, aiding in its elimination from the body. Additionally, adequate hydration supports overall kidney function and can help prevent renal damage that may result from high calcium levels.

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