Nokea
In Langerhans cell histiocytosis (LCH), all the following manifestations are at high risk of mortality in patients EXCEPT
- A. liver
- B. spleen
- C. lung
- D. hematopoietic system
Correct Answer: C
Rationale: Lung involvement, while serious, is less lethal compared to liver, spleen, or hematopoietic system involvement.
You may also like to solve these questions
Mr. Ramos consulted at the health center for follow up after one month of Isoniazid and Rifampicin. Which diagnostic test will have an abnormal result if the client is taking these medications?
- A. gallbladder studies
- B. thyroid function tests
- C. liver function tests
- D. blood sugar levels
Correct Answer: C
Rationale: The client is taking Isoniazid and Rifampicin, which are two common first-line medications prescribed for the treatment of tuberculosis. Both of these drugs can potentially cause liver toxicity as a side effect. Therefore, the diagnostic test that is most likely to have an abnormal result if the client is taking these medications is the liver function tests. These tests include parameters such as alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), and bilirubin levels, which can indicate liver damage or dysfunction. Monitoring liver function is essential during treatment with these medications to detect any hepatic adverse effects early and make appropriate management decisions.
To prevent plagiocephaly, the nurse should teach parents to:
- A. place infant prone for 30 to 60 minutes per day.
- B. buy a soft mattress.
- C. allow infant to nap in the car safety seat.
- D. have infant sleep with the parents.
Correct Answer: A
Rationale: Placing the infant prone (on their stomach) for 30 to 60 minutes per day while they are awake is an effective way to prevent plagiocephaly, which is the flattening of the back or side of an infant's head. This practice helps to alleviate pressure on one particular area of the skull and promotes balanced head growth. It is important for parents to follow safe sleep guidelines and avoid having infants sleep on their stomachs, as this position is associated with an increased risk of sudden infant death syndrome (SIDS). Therefore, the recommended practice of placing the infant prone for short periods during supervised awake time helps prevent plagiocephaly without compromising the infant's safety during sleep.
The physician orders local application of epinephrine 1:1000 solution to treat a nosebleed. The patient asks how this will help. Which of the ff. responses by the nurse is best?
- A. "It will raise you BP, which is necessary because of blood loss."
- B. "It will dilate your bronchioles and make your breathing easier."
- C. "It will help your blood to clot to reduce bleeding."
- D. "It will constrict your vessels and slow down the bleeding."
Correct Answer: D
Rationale: Epinephrine is a vasoconstrictor, which means it causes blood vessels to narrow. When applied locally to the site of a nosebleed, epinephrine constricts the blood vessels in the nose, slowing down and stopping the bleeding. By constricting the blood vessels, epinephrine helps to reduce the blood flow to the area, allowing a clot to form and stop the bleeding. This is why option D, "It will constrict your vessels and slow down the bleeding," is the best response by the nurse to explain how epinephrine will help treat a nosebleed.
By the age of 7 months, the infant is able to do all the following EXCEPT
- A. transfer object from hand to hand
- B. actively bounces
- C. uses radial palm grasp
- D. roll over
Correct Answer: D
Rationale: Rolling over is usually achieved earlier, by 4-6 months, while other skills are typical for 7 months.
An adolescent patient with chronic asthma, who has been hospitalized several times during the winter with severe asthmatic exacerbations, confides, 'I wish I could stay here in the hospital because every time I go home, I get sick again!' What is the pediatric nurse's best response?
- A. Let's talk about preventing and managing your asthma on a daily basis at home.
- B. Why don't I speak with your parents about what they are doing at home to help control your asthma?
- C. We can arrange for you to stay in the hospital longer.
- D. none of the above.
Correct Answer: A
Rationale: Discussing strategies to manage asthma at home empowers the patient and addresses the root cause of recurrent exacerbations.