Nokea
In Langerhans cell histiocytosis (LCH), which organ is LEAST likely affected?
- A. skin
- B. ear
- C. bone
- D. middle nodes
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 9mo-old infant develops a left adrenal mass; histological examination with genetic characteristics confirms neuroblastoma. Which of the following carries a better outcome?
- A. amplification of the MYCN (N-myc) proto-oncogene
- B. hyperdiploidy
- C. loss of heterozygosity of 17q chromosome
- D. loss of 1p chromosome
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which statement by an 18-year-old woman vaccinated with Gardasil indicates that more teaching is necessary?
- A. This vaccination will cure the HPV infection I got when I was 16.
- B. I will still need to have a routine Pap screen performed.
- C. Gardasil can prevent genital warts in males and females.
- D. This drug does not protect against all types of HPV.
Correct Answer: A
Rationale: The correct answer is A because Gardasil does not cure existing HPV infections. Gardasil is a preventive vaccine and does not treat existing infections. Choice B is correct as regular Pap screenings are still necessary even after vaccination. Choice C is also correct as Gardasil can prevent genital warts. Choice D is correct as Gardasil does not protect against all types of HPV. Therefore, option A is the statement that indicates the need for more teaching.
Which statement best describes the recommended approach to increase participation as the focus of intervention with children and youth?
- A. Remediate areas of concern and the child's limitations
- B. Intervene with family and friends to interact differently with the child
- C. Promote the child's strengths and allow the child to accommodate challenges
- D. Evaluate the child's areas of competence and achievement, along with challenges
Correct Answer: D
Rationale: The recommended approach to intervention with children and youth focuses on evaluating the child's areas of competence and achievement, along with challenges. By understanding the child's strengths and competencies, interventions can be tailored to build upon these existing positive attributes. This approach fosters a positive self-image and encourages further development by capitalizing on the child's strengths.
What is the next food texture after 'soft and bite-sized pieces of meltable and soft-solid foods'?
- A. Regular
- B. Liquidized
- C. Puréed
- D. Minced and Moist
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare provider is preparing to administer ibuprofen 5 mg per kg every 6 hours PRN for temperatures above 38.0 degrees Celsius or 100.5 degrees Fahrenheit to an infant who weighs 17.6 lb. The infant has a temperature of 38.4 degrees Celsius or 101.2 degrees Fahrenheit. Available is ibuprofen liquid 100 mg/5 ml. How many milliliters should the healthcare provider administer to the infant?
- A. 12 ml
- B. 6 ml
- C. 2 ml
- D. 1 ml
Correct Answer: C
Rationale: To calculate the correct dosage, first convert the infant's weight to kilograms: 17.6 lb = 8 kg. The prescribed dose is 5 mg/kg, so for an 8 kg infant, the total dose required is 40 mg. Since the available ibuprofen liquid is 100 mg/5 ml, to find out how many milliliters to administer, divide the total dose (40 mg) by the concentration of the liquid (100 mg/5 ml), which equals 2 ml. Therefore, the healthcare provider should administer 2 ml of ibuprofen to the infant.