Nokea
A four-year-old patient, whose family follows a strict vegetarian diet, undergoes a prekindergarten physical examination. The pediatric nurse is alert to the patient's potential deficiency of:
- A. niacin.
- B. thiamin.
- C. vitamin B6.
- D. vitamin B12.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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During the routine exam of an infant the parents state a 5th degree family history of adenomatous polyposis. The statement that should be included during the discussion is the infant is at increased risk of colonic adenocarcinoma
- A. the infant is at increased risk of acute lymphocytic leukemia
- B. the infant is at increased risk of intestinal Burkitt lymphoma
- C. the infant is at increased risk of hepatoblastoma
- D. the infant is at increased risk of germ cell tumor
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What will the nurse caution the parents of a child who has had a nephrectomy that he will have to avoid?
- A. Contact sports
- B. Horseback riding
- C. Alcohol
- D. Diuretic medications
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which assessment finding would necessitate action by the nurse for a 10-month-old child who is 4 hours postoperative for the placement of a urethral stent?
- A. Bloody urine
- B. One void since returning from surgery
- C. Bladder spasms responding to pharmacologic intervention
- D. Double diapering from the previous shift
Correct Answer: B
Rationale: In a postoperative scenario after the placement of a urethral stent, monitoring the child's voiding frequency is crucial. Having only one void since returning from surgery could indicate potential issues like urinary retention, which necessitates prompt nursing intervention to prevent complications.
During the routine exam of an infant the parents state a 5th degree family history of adenomatous polyposis. The statement that should be included during the discussion is the infant is at increased risk of colonic adenocarcinoma
- A. the infant is at increased risk of acute lymphocytic leukemia
- B. the infant is at increased risk of intestinal Burkitt lymphoma
- C. the infant is at increased risk of hepatoblastoma
- D. the infant is at increased risk of germ cell tumor
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following chromosomal abnormalities of childhood ALL carries the highest risk of relapse despite intensive chemotherapy?
- A. t(9;22)
- B. t(4;11)
- C. hypodiploidy
- D. t(1;19)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.