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A parent is receiving discharge teaching following their infant's hypospadias repair. Which instruction should the parent follow?
- A. Apply a warm compress to the infant's surgical site twice daily.
- B. Avoid giving the infant a tub bath for 1 week.
- C. Apply an antibiotic ointment to the infant's penis daily.
- D. Clamp the infant's catheter for 30 minutes every 4 hours.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 3-year-old is hospitalized for an ASD repair. The parents plan to leave briefly. The child asks when his parents will return. The nurse's best response is:
- A. They will be back after your nap.
- B. They will be back at 6:00 p.m.
- C. They will be back later this evening.
- D. They will be back when your mommy finishes a short errand, just like when you wait for bedtime.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Renal cell carcinoma (RCC) is rare in children, accounting for <5% of all renal tumors. All the following are true regarding RCC in children EXCEPT
- A. patients may present with frank hematuria, flank pain, and/or a palpable mass
- B. it can be asymptomatic and detected incidentally
- C. it has a propensity to metastasize to the lungs, bone, liver, and brain
- D. it can be associated with von Hippel-Lindau disease
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare provider at an urgent care clinic is assessing an adolescent client who has an upper respiratory tract infection. Which of the following findings should the provider recognize as a manifestation of pertussis?
- A. Inflamed throat with exudate
- B. Purulent eye drainage
- C. Dry, hacking cough
- D. Koplik spots on buccal mucosa
Correct Answer: C
Rationale: The correct answer is C: 'Dry, hacking cough.' A dry, hacking cough is a classic manifestation of pertussis. Pertussis typically presents with symptoms of an upper respiratory tract infection, starting with a persistent, severe, and uncontrollable cough that can worsen at night. This cough is often followed by a high-pitched 'whoop' sound as the patient tries to catch their breath, hence the term 'whooping cough.' In contrast, options A, B, and D are not typically associated with pertussis. Inflamed throat with exudate may suggest a bacterial throat infection like streptococcal pharyngitis, purulent eye drainage is more indicative of a bacterial conjunctivitis, and Koplik spots on the buccal mucosa are specific to measles. Therefore, recognizing the dry, hacking cough as a manifestation of pertussis is crucial for early identification and appropriate management of the disease.
What is the best action for a 6-year-old boy with school refusal?
- A. Refer to a pediatric psychologist
- B. Start selective serotonin reuptake inhibitor
- C. Assess the home environment
- D. Give the child special attention from the teacher
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is normally the earliest age at which an infant begins teething with eruption of lower central incisors?
- A. 4 months
- B. 6 months
- C. 8 months
- D. 12 months
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.