Nokea
Undescended testis is a risk factor for the development of which of the following tumors?
- A. rhabdomyosarcoma
- B. leukemia
- C. yolk sac tumor
- D. lymphoma
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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When educating a parent of an infant with a new prescription for digoxin, which instruction should the nurse provide?
- A. Repeat the dose if the infant vomits.
- B. Mix the medication with food.
- C. Give the medication with meals.
- D. Monitor the infant's heart rate prior to administering the medication.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
At a 6-month well-child checkup, a male infant is weighed. The mother asks if his weight is normal. The nurse's best response is:
- A. At 6 months, his weight should be approximately three times his birth weight.
- B. Each child grows at their own pace.
- C. At 6 months, his weight should be approximately twice his birth weight.
- D. At 6 months, a child should weigh about 10 lb more than at birth.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient taking isotretinoin (Accutane) for acne vulgaris. Which statement indicates that the patient teaching has been effective?
- A. I should use a reliable form of birth control.
- B. I will stop taking the drug if my skin is dry.
- C. It is important to increase intake of vitamin A.
- D. I do not need to use sunblock while taking Accutane.
Correct Answer: A
Rationale: The correct answer is A. Isotretinoin is highly teratogenic, which means it can cause birth defects. Therefore, it is crucial for patients, especially females of childbearing potential, to use effective forms of birth control to prevent pregnancy while taking this medication. This is a key component of patient teaching to ensure the safe use of isotretinoin.
A healthy 4-year-old child has a left flank mass. Computerized tomography (CT) scan of the abdomen shows a localized renal mass. Radical nephrectomy is performed; the histology shows clear cell sarcoma of the kidney. The MOST appropriate next step in the management is
- A. CT scan of the chest
- B. CT scan of the brain
- C. bone scan
- D. magnetic resonance imaging (MRI) of the brain
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which assessment finding for a 4-month-old infant would require further action by the nurse?
- A. The posterior fontanel is open.
- B. The infant has good head control when held upright.
- C. The infant is able to roll only from abdomen to back.
- D. The anterior fontanel is open and soft.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.