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You are meeting with parents of a 10-year-old child who recently develops acute lymphoblastic leukemia (ALL). Which of the following is LEAST likely to increase the risk of CNS relapse in children with ALL?
- A. first traumatic lumbar puncture (LP)
- B. T-cell leukemia
- C. cranial nerve involvement at the time of diagnosis
- D. presence of lymphoblast in the CSF at any time during treatment
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Drug reactions to penicillins and cephalosporins are common in pediatrics. Risk factors for drug reactions include all the following EXCEPT
- A. previous drug exposure
- B. increasing age (>20 years)
- C. higher dose
- D. intermittent repeated exposure
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Early sign of shock is:
- A. Hypotension
- B. Disturbed consciousness level
- C. Cheyne-Stokes breathing
- D. Tachycardia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
More than 90% of patients with atopic dermatitis have colonization of lesional skin with Staphylococcus aureus, and uninvolved skin has colonization of more than
- A. 5%
- B. 15%
- C. 25%
- D. 50%
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Childhood vasculitis encompasses a broad spectrum of diseases that share inflammation of blood vessels. The disease that affects predominantly large blood vessels is
- A. Henoch-Schonlein purpura
- B. polyarteritis nodosa
- C. Kawasaki disease
- D. Takayasu arteritis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A school-age child is 4 hours postoperative following perforated appendicitis repair. Which of the following actions should the nurse take?
- A. Maintain the child on a clear liquid diet for 48 hours.
- B. Administer antibiotics for 7 days.
- C. Apply warm compresses to the surgical site every 4 hours.
- D. Keep the child on NPO status for 24 hours.
Correct Answer: B
Rationale: Administering antibiotics for 7 days is essential postoperatively to prevent infections and complications in a child who underwent perforated appendicitis repair. This helps in reducing the risk of secondary infections and promoting healing. Clear liquid diets, warm compresses, and prolonged fasting are not the primary interventions indicated in this scenario.