Nokea
Which laboratory value at the time of diagnosis should the nurse anticipate would determine the worst prognosis for a child with leukemia?
- A. Slow response to chemotherapy
- B. Platelets of 150,000/mcL
- C. Leukocytes less than 10,000/mcL
- D. Leukocytes of 275,000/mcL
Correct Answer: D
Rationale: A high white blood cell count (leukocytes of 275,000/mcL) at diagnosis is associated with a worse prognosis in leukemia because it indicates a more aggressive disease with a higher tumor burden. Slow response to chemotherapy (choice A) is a consequence of the aggressive disease and not a determining factor at diagnosis. Platelets of 150,000/mcL (choice B) and leukocytes less than 10,000/mcL (choice C) are within normal ranges and not indicative of a worse prognosis in leukemia.
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The nurse is explaining different parenting styles to a group of parents. The nurse explains that an authoritative parenting style can lead to which child behavior?
- A. Shyness
- B. Self-reliance
- C. Submissiveness
- D. Self-consciousness
Correct Answer: B
Rationale: An authoritative parenting style, which balances warmth with firmness, is associated with fostering self-reliance and independence in children.
Parents of a hospitalized toddler ask the nurse, "What is meant by family-centered care?" The nurse should respond with which statement?
- A. Family-centered care reduces the effect of cultural diversity on the family
- B. Family-centered care encourages family dependence on the health care system
- C. Family-centered care recognizes that the family is the constant in a child's life
- D. Family-centered care avoids expecting families to be part of the decision-making process
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What problem is most often associated with myelomeningocele?
- A. Biliary atresia
- B. Hydrocephalus
- C. Craniostenosis
- D. Tracheoesophageal fistula
Correct Answer: B
Rationale: Hydrocephalus is the most commonly associated problem with myelomeningocele, present in 80% to 90% of affected children. Biliary atresia and tracheoesophageal fistula are not typically associated with myelomeningocele. Craniostenosis refers to the premature closing of cranial sutures and is not a common issue seen with myelomeningocele.
In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
- A. Suicide and cancer
- B. Suicide and homicide
- C. Drowning and cancer
- D. Homicide and heart disease
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which distraction technique should be used for an adolescent child during a painful procedure?
- A. Blowing bubbles
- B. Guided imagery
- C. EMLA cream
- D. Sucrose solution
Correct Answer: B
Rationale: The correct answer is B: Guided imagery. Guided imagery is an effective distraction technique for adolescents as it helps them focus on positive mental images instead of the pain. This technique can be a powerful tool in managing pain and anxiety during procedures. Blowing bubbles (choice A) may be more suitable for younger children as it can engage them visually and help distract them. EMLA cream (choice C) is a topical anesthetic and not a distraction technique. Sucrose solution (choice D) is used for pain relief in infants, not typically for adolescents undergoing painful procedures.