Nokea
The least common late neurologic sequelae that may be encountered post craniospinal irradiation in a 9-year-old child with medulloblastoma is
- A. microcephaly
- B. learning disabilities
- C. cognitive impairment
- D. second malignancy
Correct Answer: D
Rationale: Second malignancy is a rare late effect compared to cognitive and learning impairments.
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Common side effects of stimulant medications include
- A. appetite suppression
- B. gastrointestinal tract symptoms
- C. sedation
- D. hepatitis
Correct Answer: A
Rationale: Appetite suppression is a common side effect of stimulant medications used to treat ADHD.
The pediatric nurse advises a parent how to best convey the circumstances surrounding the sudden death of an 18-month-old patient to a four-year-old sibling. The nurse anticipates that the sibling:
- A. may feel guilty about the patient's death.
- B. may mistrust the parent.
- C. understands the permanence of death.
- D. will role-play the patient's death.
Correct Answer: A
Rationale: Young children often struggle with understanding death and may internalize feelings of guilt, believing they had a role in the event.
These facts are true regarding the developmental stage of preschool children EXCEPT
- A. handedness is achieved by 3 years of age
- B. boys are usually later than girls in achieving bladder control
- C. knowing gender by 4 years
- D. egocentric thinking
Correct Answer: D
Rationale: Egocentric thinking is characteristic of preschool-age children.
Four-year-old Brian appears to be upset by hospitalization. Which is an appropriate intervention?
- A. Let him know it is all right to cry.
- B. Give him time to gain control of himself.
- C. Show him how other children are cooperating.
- D. Tell him what a big boy he is to be so quiet.
Correct Answer: A
Rationale: Option A, "Let him know it is all right to cry," is the most appropriate intervention for a four-year-old like Brian who appears to be upset by hospitalization. Acknowledging and validating his emotions, including the possibility of crying, is important for his emotional well-being. By letting Brian know it is okay to express his feelings, he can feel supported and understood during a potentially difficult time. It is crucial for children to feel that their emotions are valid and accepted, promoting their emotional resilience and coping skills. This approach fosters trust and comfort, helping Brian navigate his emotions in a healthy way.
Which of the ff is the primary sign of breast cancer?
- A. A bloody discharge from the nipple
- B. A retraction of the nipple
- C. A dimpling of the skin over the lesion
- D. A painless mass in the breast CLIENT IN BIOLOGICAL CRISIS MANAGEMENT of PATIENTS with COMPLICATIONS from HEART DISEASE
Correct Answer: D
Rationale: The primary sign of breast cancer is usually a painless mass or lump in the breast. This mass or lump may feel hard, irregularly shaped, and different from the surrounding breast tissue. It is important to note that not all breast lumps are cancerous, but it is crucial to seek medical evaluation if you notice any new or unusual changes in your breast tissue. Other signs such as a bloody discharge from the nipple, retraction of the nipple, or dimpling of the skin over the lesion can also be associated with breast cancer, but the presence of a painless mass in the breast is typically the most common initial indication of the disease.