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Which statement best describes the recommended approach to increase participation as the focus of intervention with children and youth?
- A. Remediate areas of concern and the child's limitations
- B. Intervene with family and friends to interact differently with the child
- C. Promote the child's strengths and allow the child to accommodate challenges
- D. Evaluate the child's areas of competence and achievement, along with challenges
Correct Answer: D
Rationale: The recommended approach to intervention with children and youth focuses on evaluating the child's areas of competence and achievement, along with challenges. By understanding the child's strengths and competencies, interventions can be tailored to build upon these existing positive attributes. This approach fosters a positive self-image and encourages further development by capitalizing on the child's strengths.
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Upper respiratory infections (URI) in children may increase the risk of reactive airway disease. Which of the following is NOT a typical feature of URI?
- A. Fever
- B. Clear rhinorrhea
- C. Injected sclerae
- D. Productive cough
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
How should professionals communicate with parents and family members?
- A. Share information with both parents to distribute the stress equally
- B. Share information with one parent to ensure accuracy
- C. Share information with all individuals who interact with the child, whether family or not
- D. Provide information in writing exclusively to ensure clear communication
Correct Answer: C
Rationale: When professionals communicate with parents and family members, it is essential to share information with all individuals who interact with the child, whether they are family members or not. This inclusive approach ensures that everyone involved in the child's care and well-being is well-informed and can provide support as needed. It is important to consider the broader network of individuals who play a role in the child's life to promote comprehensive and effective communication.
You are evaluating a 6-year-old child with ALL on interim maintenance phase who has frequent mucositis and myelosuppression that needs frequent discontinuation of his treatment. Of the following, the MOST valuable test for this child is
- A. complete blood count
- B. pharmacogenetic testing of the thiopurine S-methyltransferase (TPMT) gene
- C. renal function test
- D. bone marrow study
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which clinical manifestations should the nurse anticipate when assessing a child admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome (MCNS)?
- A. Massive proteinuria, hypoalbuminemia, and edema
- B. Hematuria, bacteriuria, and weight gain
- C. Decreased urine specific gravity and increased urinary output
- D. Gross hematuria, albuminuria, and fever
Correct Answer: A
Rationale: Minimal change nephrotic syndrome (MCNS) is characterized by massive proteinuria, hypoalbuminemia, and edema. Proteinuria results from the loss of proteins, particularly albumin, in the urine, leading to hypoalbuminemia. The low oncotic pressure due to hypoalbuminemia causes fluid to shift into the interstitial spaces, resulting in edema. These clinical manifestations are classic signs of MCNS and help differentiate it from other renal conditions.
A post-op patient has an epidural infusion of morphine sulfate. The patient’s respiratory rate declines to 8 breaths/minute. Which medication would the nurse anticipate administering?
- A. Naloxone (Narcan)
- B. Acetylcysteine (Mucomyst)
- C. Methyprednisolone (Solu-Medrol)
- D. Protamine Sulfate
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.