Nokea
Antivenins should be considered in the treatment of all of the following EXCEPT
- A. rattlesnake envenomations
- B. scorpion envenomations
- C. black widow envenomations
- D. stonefish envenomations
Correct Answer: E
Rationale: Hymenoptera envenomations (e.g., bee stings) typically do not require antivenin, as they are managed with supportive care.
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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: Clear cell sarcoma of the kidney has a propensity to metastasize to bones, making a bone scan essential.
The nurse has been asked to prepare an intervention plan for a client, age 70, admitted for treatment of renal calculi. He complains of frequent pain due to increased pressure in the renal pelvis and is frightened of the excruciating pain. Which of the ff measures can the nurse include in the client's nursing care plan? Choose all that apply
- A. Administer prescribed nephrotoxic drugs
- B. Encourage ambulation and liberal fluid
- C. Observe aseptic principles when changing intake
- D. Provide a comfortable position
Correct Answer: B
Rationale: A. Administer prescribed nephrotoxic drugs - This measure is not appropriate for the client's care plan as nephrotoxic drugs can further harm the kidneys, exacerbating the condition of renal calculi.
What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?
- A. Explain how SIDS could have been predicted and prevented. TestBankWorld.org
- B. Interview parents in depth concerning the circumstances surrounding the child's death.
- C. Discourage parents from making a last visit with the infant.
- D. Make a follow-up home visit to parents as soon as possible after the child's death.
Correct Answer: D
Rationale: One of the most important nursing responsibilities when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS) is to provide ongoing support and care to the grieving parents. Making a follow-up home visit as soon as possible after the child's death allows the nurse to offer emotional support, assess the parents' well-being, provide information on coping strategies, and refer them to appropriate resources such as counseling services or support groups. This visit also enables the nurse to address any questions or concerns the parents may have, validate their feelings of grief, and help them navigate the difficult grieving process. By being present and available to the family during this challenging time, the nurse can help them feel supported and cared for as they cope with the tragic loss of their infant.
Which of the following diets would the nurse include in the plan of care for a person with AIDS?
- A. A high-protein, high-calorie diet divided into six small meals.
- B. A low-fat, soft diet divided into 8 small meals.
- C. A high-carbohydrate, fat-restricted diet divided into 4 meals.
- D. A high-fat, high-calorie diet divided into 3 meals.
Correct Answer: A
Rationale: People with AIDS often experience weight loss and malnutrition due to the disease's impact on the immune system. A high-protein, high-calorie diet can help support the immune system and maintain or improve weight. Dividing the meals into six servings can help with better absorption of nutrients and provide a steady source of energy throughout the day. This type of diet can also help manage symptoms and side effects of the disease and its treatments, such as maintaining muscle mass, managing nausea, and supporting overall health.
Undescended testis is a risk factor for the development of which of the following tumors?
- A. rhabdomyosarcoma
- B. leukemia
- C. yolk sac tumor
- D. lymphoma
Correct Answer: C
Rationale: Undescended testis is a well-documented risk factor for yolk sac tumors and other testicular cancers.