Nokea
The 6-year-old child scheduled for an orchiopexy shyly asks the nurse, 'What are they going to do to me 'down there'? What is the nurse's best response?
- A. They are going to fix you up 'down there'.
- B. They will move your testicle from your abdomen to your scrotum.
- C. What do you think your doctor is going to do?
- D. You shouldn't worry. Your doctor knows exactly what to do.
Correct Answer: C
Rationale: The nurse should encourage the child to express his thoughts and feelings about the upcoming surgery. This approach helps the child feel heard and understood while providing an opportunity to address any misconceptions or fears. By asking the child what he thinks the doctor will do, the nurse engages the child in a conversation that can help alleviate anxiety and build trust. School-age children often have fears related to bodily harm, and open communication can help alleviate such concerns.
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Which parental statement at the end of a teaching session by the nurse indicates correct understanding of colostomy stoma care for the infant client?
- A. We will change the colostomy bag with each wet diaper.
- B. We will expect a moderate amount of bleeding after cleansing the area around the stoma.
- C. We will watch for skin irritation around the stoma.
- D. We will use adhesive enhancers when we change the bag.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Children with ALL who carry poor outcome include all the following EXCEPT
- A. age younger than 1 year and older than 10 year
- B. T-cell immunophenotype
- C. hyperdiploidy chromosomal abnormality
- D. initial leukocyte count of > 50,000
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Although most relapses in children with Wilms tumor occur early (within 2 yr of diagnosis) and have a favorable outcome, about 15% suffer relapse. Relapse includes all the following EXCEPT
- A. low stage (I/II) at diagnosis
- B. no prior radiotherapy
- C. anaplastic histology
- D. more than 12 mo from nephrectomy
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child is in the oliguric phase of acute kidney injury. Which of the following interventions should be included in the plan of care?
- A. Administer a loop diuretic.
- B. Provide a low-sodium diet.
- C. Weigh the child weekly.
- D. Provide a high-protein diet.
Correct Answer: A
Rationale: During the oliguric phase of acute kidney injury, the priority is to manage fluid balance. Administering a loop diuretic helps promote diuresis and reduce fluid retention, aiding in managing the condition effectively. Providing a low-sodium diet may be beneficial but is not the priority intervention during this phase. Weighing the child weekly may be important for monitoring overall health but does not directly address the oliguric phase. Providing a high-protein diet is not typically recommended in acute kidney injury, especially during the oliguric phase.
A parent of a preschooler is being taught by a nurse about administering ear drops. Which of the following statements by the parent indicates an understanding of the teaching?
- A. I will straighten my child's ear canal by pulling it upward and backward.
- B. I will administer the ear drops immediately after removing them from the refrigerator.
- C. I will pull the ear lobe down and back before administering the ear drops.
- D. I will massage my child's ear after administering the ear drops.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.