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Renal cell carcinoma (RCC) is rare in children, accounting for <5% of all renal tumors. All the following are true regarding RCC in children EXCEPT
- A. patients may present with frank hematuria, flank pain, and/or a palpable mass
- B. it can be asymptomatic and detected incidentally
- C. it has a propensity to metastasize to the lungs, bone, liver, and brain
- D. it can be associated with von Hippel-Lindau disease
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Iron chelating agents are used for treatment of:
- A. Leukemia
- B. Lymphoma
- C. Wilms tumor
- D. Chronic hemolytic anemia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In the presence of convincing history of a severe systemic reaction, the next diagnostic step for those with initially negative skin test is
- A. in vitro serum assay for venom-specific IgE
- B. repeat skin test after 4-6 weeks
- C. serum tryptase level
- D. plasma histamine
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Childhood psychosis may include all the following EXCEPT
- A. delusions
- B. loss of reality testing
- C. disorganized speech
- D. acute phobic hallucination
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client who is receiving a blood transfusion begins to experience chills, shortness of breath, nausea, excessive perspiration, and a vague sense of uneasiness. What is the nurse's first best action?
- A. Report the signs and symptoms to the
- B. Monitor the client's vital signs
- C. Assess respiratory status
- D. Stop the infusion
Correct Answer: D
Rationale: The client is exhibiting signs of a transfusion reaction, most likely a hemolytic reaction. The first best action for the nurse to take in this situation is to immediately stop the blood transfusion to prevent further complications for the client. Once the infusion is stopped, the nurse can then proceed with assessing the client's vital signs, respiratory status, and other appropriate interventions. It is crucial to prioritize stopping the transfusion to ensure the client's safety and well-being.
In Langerhans cell histiocytosis (LCH), which organ is LEAST likely affected?
- A. skin
- B. ear
- C. bone
- D. middle nodes
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.