Nokea
Although most relapses in children with Wilms tumor occur early (within 2 yr of diagnosis) and have a favorable outcome, about 15% suffer relapse. Relapse includes all the following EXCEPT
- A. low stage (I/II) at diagnosis
- B. no prior radiotherapy
- C. anaplastic histology
- D. more than 12 mo from nephrectomy
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Abrupt withdrawal of baclofen may cause
- A. depression
- B. drowsiness
- C. headache
- D. seizure
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient who has PUD and is receiving magnesium hydroxide (MOM) is experiencing an increased number of BM. Which is the nurse’s priority action?
- A. Ask the HCP for a reduction in dose
- B. Encourage the patient to increase dietary fiber
- C. Administer the drug with an aluminum hydroxide antacid
- D. Instruct patient to keep an accurate stool count
Correct Answer: C
Rationale: MOM is a rapid-acting antacid with a prominent adverse effect of diarrhea. To compensate, it usually is administered in combo with aluminum hydroxide which promotes constipation. A reduction in dose might be necessary if the diarrhea is severe, but this is not a priority action. Increasing dietary fiber and keeping a stool count are appropriate actions to implement after adding an antacid to counteract the diarrhea effect.
A parent of a child with HIV is being educated by a healthcare provider. Which statement by the parent indicates an understanding of the teaching?
- A. I will notify my child's school about their condition.
- B. I will give my child the prescribed antiretroviral medication at regular intervals.
- C. I will expect my child to receive yearly immunizations.
- D. I will bring my child in for yearly skin testing.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child is being cared for by a nurse and has rheumatic fever. Which of the following actions should the nurse plan to take?
- A. Administer aspirin to the child as prescribed, based on the healthcare provider's instructions.
- B. Encourage adequate fluid intake for the child.
- C. Elevate the child's joints and provide warm compresses.
- D. Monitor the child's heart rate for dysrhythmias.
Correct Answer: D
Rationale: Rheumatic fever can lead to cardiac complications, such as dysrhythmias. Therefore, it is essential for the nurse to monitor the child's heart rate closely for any signs of dysrhythmias. This will help in early identification and prompt management of potential cardiac issues associated with rheumatic fever.
All the following are risk factors for obstructive sleep apnea in children EXCEPT
- A. peculiar facial anatomy
- B. hypotonia
- C. developmental delay
- D. central adiposity
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.