Nokea
Low birth weight or premature infants are screened for anemia at birth and again at the age of
- A. 2 months
- B. 4 months
- C. 6 months
- D. 8 months
Correct Answer: C
Rationale: Anemia screening for low birth weight or premature infants is recommended at 6 months.
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A 2-year-old child is being evaluated for a right flank mass; radiological appearance is consistent with rupture of Wilms tumor. The BEST therapeutic approach for this child is
- A. radiotherapy
- B. concomitant chemotherapy-radiotherapy
- C. another surgery
- D. observation
Correct Answer: B
Rationale: Concomitant chemotherapy and radiotherapy are essential to manage ruptured Wilms tumor and reduce the risk of dissemination.
Which manifestation is more specific to occur in anaplastic large cell lymphoma (ALCL) than other types of non-Hodgkin lymphoma?
- A. primary bone marrow involvement
- B. intestinal involvement
- C. CNS involvement
- D. primary mediastinal involvement
Correct Answer: D
Rationale: Primary mediastinal involvement is a hallmark feature of ALCL.
Joel has some internal bleeding. At which of the following sites is the most common for the child with hemophilia to bleed?
- A. Cerebrum
- B. Intestines
- C. Ends of the log bones
Correct Answer: C
Rationale: In children with hemophilia, the most common site for bleeding is at the ends of the long bones, such as the joints (especially the knees, elbows, and ankles). This is due to the joints being more prone to injury and stress during physical activities. As a result, spontaneous bleeding or bleeding following minor trauma can occur at these sites. Internal bleeding in the cerebrum or intestines is less common in children with hemophilia compared to bleeding in the joints.
When caring for a client, whose being treated for hyperthyroidism, it's important to:
- A. Provide extra blankets and clothing to keep the client warm.
- B. Monitor the client for signs of restlessness, sweating and excessive weight loss during thyroid replacement therapy.
- C. Balance the client's periods of activity and rest.
- D. Encourage the client to be active to prevent constipation.
Correct Answer: B
Rationale: When caring for a client with hyperthyroidism, it is important to monitor the client for signs of restlessness, sweating, and excessive weight loss during thyroid replacement therapy. Treatment for hyperthyroidism often involves thyroid replacement therapy to restore the balance of thyroid hormones in the body. Monitoring for signs and symptoms of overmedication or undermedication is crucial to ensure the client's health and well-being. Restlessness, sweating, and weight loss can be indicators of an imbalance in thyroid hormone levels and may require adjustments in medication dosage. Regular monitoring and communication with healthcare providers are essential in managing the client's condition effectively.
Which of the following terms would indicate to the nurse that a substance is toxic to the ear?
- A. Otoplasty
- B. Ototoxic
- C. Otalgia
- D. Tinnitus
Correct Answer: B
Rationale: The term "ototoxic" indicates that a substance has the potential to cause damage to the ear or auditory system. Ototoxic substances can lead to hearing loss or damage to the inner ear structures. Therefore, if a nurse encounters the term ototoxic in a clinical setting, it would indicate that the substance being discussed is toxic to the ear. The other options, otoplasty, otalgia, and tinnitus, do not specifically indicate toxicity to the ear.