Nokea
Tumor lysis syndrome is a common complication during treatment of pediatric malignancies. Which malignancy is more likely to manifest such complication?
- A. acute myelogenous leukemia (AML)
- B. nephroblastoma
- C. neuroblastoma
- D. Burkitt lymphoma
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A school-age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L. Which prescribed medication should the nurse plan to administer?
- A. Spironolactone (Aldactone)
- B. Sodium polystyrene sulfonate (Kayexalate)
- C. Lactulose (Cephulac)
- D. Calcium carbonate (Calcitab)
Correct Answer: B
Rationale: A serum potassium level of 5.2 mEq/L indicates hyperkalemia, which can be dangerous for a child with chronic renal failure. Sodium polystyrene sulfonate (Kayexalate) is a medication commonly used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestine, promoting the elimination of excess potassium through the gastrointestinal tract. This helps lower the serum potassium levels and prevent complications associated with hyperkalemia. Spironolactone (Aldactone) is a potassium-sparing diuretic and should be avoided in a child with hyperkalemia. Lactulose (Cephulac) is a laxative and does not directly address high potassium levels. Calcium carbonate (Calcitab) is a calcium supplement and is not indicated for managing hyperkalemia.
Children with high-risk neuroblastoma have poor survival. Current treatment consists of all the following EXCEPT
- A. surgery
- B. intensive chemotherapy
- C. radiation
- D. allogenic bone marrow transplantation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is admitting a preterm newborn to the NICU. Which interventions should the nurse implement to prevent retinopathy? (Select all that apply.)
- A. Place on pulse oximetry.
- B. Decrease exposure to bright, direct lighting.
- C. Place on a cardiac monitor.
- D. Cover eyes with an eye shield at night.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
One of the following drugs is not used during resuscitation:
- A. Atropine
- B. Bicarbonate
- C. Digitalis
- D. Epinephrine
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 32-week preterm baby on mechanical ventilation, recovering from RDS, has a satisfactory blood gas, and ventilatory settings are being reduced for weaning. What is the most valuable indicator that the baby is ready for extubation?
- A. frequency of respiration 35
- B. fraction of inspired O2 0.55
- C. peak expiratory end pressure 6
- D. inspiratory pressure 8
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.