Which nursing action would best help the child to cope with the effects of the chemotherapy?
- A. Serve the child a well-balanced meal before beginning the chemotherapy.
- B. Give the child an antiemetic before beginning the chemotherapy.
- C. Encourage the child to get plenty of rest before beginning the chemotherapy.
- D. Give the child pain medication before beginning the chemotherapy.
Correct Answer: B
Rationale: Chemotherapy often causes nausea and vomiting. Administering an antiemetic prophylactically manages these side effects, improving the child's comfort and coping.
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Preterm labour is defined as spontaneous onset of painful regular uterine contractions at any time prior to:
- A. A stage of fetal viability.
- B. The second stage of labour.
- C. The 32nd week of gestation.
- D. The 37th week of gestation.
- E. The 40th week of gestation.
Correct Answer: D
Rationale: Preterm labor is defined as regular contractions before 37 weeks gestation leading to cervical change. This is the standard cutoff for preterm delivery.
If the parents report all the following history findings to the nurse, which one is most closely correlated with an increased risk of rheumatic fever?
- A. The child was exposed to measles within the past 4 weeks.
- B. The child had a severe sore throat within the past 2 weeks.
- C. The child is lethargic and no longer interested in schoolwork.
- D. The child received a bump on the head while playing.
Correct Answer: B
Rationale: Rheumatic fever is strongly associated with a recent streptococcal infection, such as a sore throat caused by group A Streptococcus. A severe sore throat within the past 2 weeks is a key risk factor, as it may indicate an untreated or inadequately treated streptococcal infection.
The pathological retraction ring of Bandl is associated with:
- A. Preterm labour.
- B. Obstructed labour.
- C. Precipitate labour.
- D. Abruptio placenta.
- E. Chorioamnionitis.
Correct Answer: B
Rationale: Bandl’s ring a pathological retraction ring forms in obstructed labor due to prolonged intense uterine contractions leading to a visible ridge between the upper and lower uterine segments.
Which response by the nurse best explains why insulin must be given subcutaneously?
- A. The oral form of insulin can lead to the worsening of diabetes.
- B. The oral form of insulin is not yet available for use.
- C. Insulin is a protein that is destroyed by digestive enzymes.
- D. Insulin given by the oral route causes severe vomiting.
Correct Answer: C
Rationale: Insulin is a protein hormone that would be broken down by digestive enzymes in the gastrointestinal tract if taken orally, rendering it ineffective. Subcutaneous administration ensures it reaches the bloodstream intact.
The nurse has provided the mother with information about her newborn’s milia. The nurse evaluates that the mother understands information when the mother makes which statement?
- A. “I will put lotion on my infant’s nose in the morning and at night.”
- B. “I understand these raised white spots will clear up without treatment.”
- C. “I realize the baby will need surgery to remove these skin lesions.”
- D. “I will apply alcohol twice a day to the lesions until they disappear.”
Correct Answer: B
Rationale: Milia are benign self-resolving white spots from sebaceous glands clearing within a month. Lotion surgery or alcohol are inappropriate.