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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Which urinary diversion procedure is the least damaging to the body image of the adolescent?
- A. Urostomy
- B. Ileal conduit
- C. Nephrostomy
- D. Suprapubic placement
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is planning care for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
- A. Position the infant on his abdomen
- B. Cleanse the incision site with hydrogen peroxide
- C. Offer the infant a pacifier
- D. Keep the infant's elbow restrained
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Epstein-Barr virus (EBV) infection is more likely to be associated with all the following malignancies EXCEPT
- A. Burkitt lymphoma
- B. nasopharyngeal T-cell lymphoma
- C. carcinoma
- D. Hodgkin lymphoma
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.
A 9-year-old girl builds a clubhouse in her backyard and hangs a sign reading 'No boys allowed.' What should the school nurse tell the parents?
- A. Her behavior is concerning and should be addressed.
- B. Her behavior is common among school-age children.
- C. Her feelings about boys will subside within a year.
- D. They should have her speak with a school counselor.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.