Burns Pediatric Primary Care Test Bank

Burns Pediatric Primary Care Test Bank Related

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The nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She's in her 30s and has two young children. Although she's worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping?

  • A. Tell the client's spouse or partner to be supportive while she recovers.
  • B. Encourage the client to proceed with the next phase of treatment.
  • C. Recommend that the client remain cheerful for the sake of her children.
  • D. Refer the client to the American Cancer Society's Reach for Recovery program or another support program.
Correct Answer: D

Rationale: Referring the client to the American Cancer Society's Reach for Recovery program or another support program is the best course of action to support her coping. This program can provide emotional support, practical assistance, and guidance to the client as she navigates through the challenges of coping with breast cancer and reconstruction surgery. Connecting with others who have gone through similar experiences can help her feel less isolated and provide her with valuable insights and resources to cope effectively. This approach acknowledges the importance of holistic support for the client during this difficult time, beyond what medical treatment alone can provide.

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Dr. Jones prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child?

  • A. To increase blood pressure
  • B. To reduce inflammation
  • C. To decrease proteinuria
  • D. To prevent infection
Correct Answer: B

Rationale: Corticosteroids are commonly used to reduce inflammation in various conditions, including nephritic syndrome. In nephritic syndrome, there is inflammation in the glomeruli of the kidneys, leading to symptoms such as proteinuria, hematuria, and reduced kidney function. Corticosteroids work by suppressing this inflammatory response, which helps alleviate the symptoms and improve kidney function in patients with nephritic syndrome. Administering corticosteroids to this child aims to reduce the inflammation in the kidneys, thereby improving their condition.

The beta subunit of human chorionic gonadotropin (HCG) is a useful surface marker in some malignant germ cell tumors (GCTs); it is secreted by syncytiotrophoblasts. In which of the following GCTs this surface marker is characteristically elevated?

  • A. teratoma
  • B. germinoma
  • C. endodermal sinus tumor
  • D. embryonal carcinoma
Correct Answer: D

Rationale: Embryonal carcinoma is strongly associated with elevated beta-HCG levels.

UTI 118 Practice Exam II The methotrexate drug used to treat :

  • A. child with thalassemia
  • B. child with hemophilia
  • C. child with leukemia
  • D. child with sickle anemia
Correct Answer: C

Rationale: Methotrexate is a chemotherapy medication that is commonly used in the treatment of various types of cancers, including leukemia. Leukemia is a cancer of the blood and bone marrow that affects the white blood cells. Methotrexate works by interfering with the growth and division of cancer cells, thereby helping to slow down or stop the progression of the disease. It is not typically used to treat thalassemia, hemophilia, or sickle cell anemia, as these conditions are not cancers and require different types of treatment approaches.

A nurse is interviewing the parents of a toddler about use of complementary or alternative medical practices. The parents share several practices they use in their household. Which should the nurse document as complementary or alternative medical practices? (Select all that apply.)

  • A. Use of acetaminophen (Tylenol) for fever
  • B. Administration of chamomile tea at bedtime
  • C. Hypnotherapy for relief of pain
  • D. Acupressure to relieve headaches
Correct Answer: B

Rationale: Administration of chamomile tea at bedtime is considered a complementary medical practice, as it involves the use of an herb for its potential therapeutic effects.

Baby Ellie is diagnosed with gastroesophageal reflux (GER); which of the following nursing diagnoses would be inappropriate?

  • A. Risk for aspiration
  • B. Impaired oral mucous membrane
  • C. Deficient fluid volume
  • D. Imbalanced nutrition: Less than body requirements
Correct Answer: B

Rationale: Gastroesophageal reflux (GER) primarily involves issues with the digestive system, such as regurgitation of stomach contents into the esophagus. Impaired oral mucous membrane is not directly related to GER. The other nursing diagnoses are more relevant and applicable in a case of GER:

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