Nokea
Under which of the ff situations should a nurse notify the physician when caring for a client with lymphangitis? Choose all that apply
- A. Affected area appears to enlarge
- B. Red streaks extend up the arm or leg
- C. Additional lymph nodes become
- D. Liver and spleen become enlarged
Correct Answer: A
Rationale: A nurse should notify the physician when caring for a client with lymphangitis under the following situations:
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The nurse closely monitors the temperature of a child with minimal change nephrotic syndrome. The purpose of this assessment is to detect an early sign of which possible complication?
- A. Infection
- B. Hypertension
- C. Encephalopathy
- D. Edema
Correct Answer: A
Rationale: In a child with minimal change nephrotic syndrome, the nurse closely monitors the temperature to detect an early sign of infection. Children with nephrotic syndrome are more susceptible to infections due to loss of immunoglobulins in the urine, decreased serum complement levels, and altered immune function. Monitoring the temperature is important to identify any signs of infection early, as prompt treatment is crucial in preventing complications such as sepsis.
Which of the following types of translocation of childhood AML that typically associated with granulocytic sarcoma mass?
- A. inv(16)
- B. t(8;21)
- C. t(6;9)
- D. inv(3)
Correct Answer: A
Rationale: The inv(16) translocation is strongly associated with granulocytic sarcoma in AML.
A newborn with hypospadias: The parents ask if circumcision is an option. Which is the best response?
- A. Circumcision is a fading practice and is now contraindicated.
- B. Circumcision is recommended to prevent infection.
- C. Circumcision is an option but should be delayed, as the foreskin may be needed for surgical repair.
- D. Circumcision can never be performed in a child with hypospadias.
Correct Answer: C
Rationale: In hypospadias, preserving the foreskin may be beneficial for repair, so circumcision is usually delayed.
Which is an accurate description of a Kasai procedure?
- A. A palliative procedure in which the bile duct is attached to a loop of bowel to assist with bile drainage.
- B. A curative procedure that connects the bile duct to the bowel.
- C. A curative procedure where the bile duct is banded.
- D. A palliative procedure where the bile duct is banded.
Correct Answer: A
Rationale: The Kasai procedure is a palliative surgery for biliary atresia that helps restore bile flow and delays the need for liver transplantation.
A 13-year-old boy is hospitalized for a femur fracture after being hit by a car while racing bikes. The parents are concerned about his judgment. The nurse should tell the parents that this behavior is:
- A. Typical of young teens.
- B. Related to hormonal surges during adolescence.
- C. An isolated incident that will not likely happen again.
- D. Related to underdeveloped judgment and impulse control in adolescence.
Correct Answer: D
Rationale: The adolescent brain is still developing, which can lead to poor judgment and impulsive behavior.