Nokea
A healthy 4-year-old child has a left flank mass. Computerized tomography (CT) scan of the abdomen shows a localized renal mass. Radical nephrectomy is performed; the histology shows clear cell sarcoma of the kidney. The MOST appropriate next step in the management is
- A. CT scan of the chest
- B. CT scan of the brain
- C. bone scan
- D. magnetic resonance imaging (MRI) of the brain
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 5-year-old girl requires a craniotomy for subarachnoid hemorrhage following a motor vehicle collision. Which of the following parameters is consistent with a postoperative diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH)?
- A. Serum osmolality 300 mOsm/L
- B. Serum sodium 128 mEq/L
- C. Urine sodium < 20 mmol/L
- D. N/A
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When educating a parent of an infant with a new prescription for digoxin, which instruction should the nurse provide?
- A. Repeat the dose if the infant vomits.
- B. Mix the medication with food.
- C. Give the medication with meals.
- D. Monitor the infant's heart rate prior to administering the medication.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional is assessing an infant who has heart failure. Which of the following findings should the healthcare professional expect?
- A. Weight gain
- B. Bounding pulses
- C. Hyperactivity
- D. Increased urine output
Correct Answer: A
Rationale: In infants with heart failure, one of the key manifestations is weight gain due to fluid retention. The heart's inability to pump effectively can lead to fluid buildup in the body, causing weight gain. Bounding pulses, hyperactivity, and increased urine output are not typically associated with heart failure in infants.
What is it called when the therapist brings a toy closer to the child so they can successfully reach and grasp it during therapy?
- A. Compensating
- B. Adapting
- C. Grading
- D. Modifying
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which question does not provide information regarding the family's cultural values?
- A. Who makes the decisions?
- B. What is the child's date of birth?
- C. What are the daily routines and rules of mealtime?
- D. What do the parents believe about disability?
Correct Answer: B
Rationale: The correct answer is B. Asking for the child's date of birth is a factual question that does not directly relate to the family's cultural values. The other choices (A, C, D) explore aspects that could provide insights into the family's cultural values and beliefs, such as decision-making dynamics, daily routines, mealtime rules, and views on disability.