Nokea
You are meeting with parents of a 12-year-old girl who recently diagnosed with papillary thyroid carcinoma (PTC). The statement that should be included in your discussion is
- A. PTC has a grim overall prognosis
- B. FTC do not require radioactive iodine therapy
- C. supraphysiologic levothyroxine therapy is required during long-term follow-up
- D. calcitonin/carcinogenic antigen monitoring is required during the course of treatment
Correct Answer: C
Rationale: Levothyroxine suppression therapy is standard in differentiated thyroid cancer.
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Regarding physical growth of middle childhood (6-11 years), all are true EXCEPT
- A. 3-3.5 kg weight increment/yr
- B. 6-7 cm height increment/yr
- C. brain stops myelinization by 8 years
- D. risk for future obesity falls by 6 years
Correct Answer: D
Rationale: Risk for obesity does not necessarily fall by 6 years.
A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting. Once the airway is established, the nurse should do which action? Place in correct sequence. Provide the answer using lowercase letters separated by commas (e.g., a, b, c).
- A. Administer epinephrine.
- B. Keep the child warm and calm.
- C. Obtain vascular access.
- D. sing to the child
Correct Answer: A
Rationale: Administering epinephrine is the first priority in a child experiencing an anaphylactic reaction to a bee sting. Epinephrine is a life-saving medication that helps reverse the severe allergic response and stabilizes the child's condition.
Which of the ff must the nurse consider when administering IV fluids to clients with hypertension?
- A. The nurse checks the clients BP every hour
- B. The nurse checks the site and progress of the infusion every hour
- C. The nurse checks the progress of the infusion once a day
- D. The nurse checks the client's pulse rate every hour
Correct Answer: B
Rationale: When administering IV fluids to clients with hypertension, the nurse must closely monitor the site and progress of the infusion every hour to ensure proper hydration and detect any signs of complications such as infiltration or infection. Checking the blood pressure every hour, as in choice A, may not be necessary unless specifically indicated by the healthcare provider. Checking the progress of the infusion once a day, as in choice C, does not provide adequate monitoring for a client with hypertension who may be at higher risk for fluid volume overload. Checking the client's pulse rate every hour, as in choice D, is important but does not directly address the immediate monitoring needs related to the administration of IV fluids.
During examination of a toddler's extremities, the nurse notes that the child is bowlegged. What should the nurse recognize regarding this finding?
- A. Abnormal and requires further investigation
- B. Abnormal unless it occurs in conjunction with knock-knee
- C. Normal if the condition is unilateral or asymmetric
- D. Normal because the lower back and leg muscles are not yet well developed
Correct Answer: A
Rationale: Bowlegged appearance in a toddler is not considered normal and should prompt further investigation by a healthcare provider. Bowlegs, also known as genu varum, can be caused by various underlying conditions such as vitamin D deficiency, rickets, or genetic factors. It is important to determine the cause of bowleggedness in order to provide appropriate treatment or interventions to promote proper development of the child's legs. Bowleggedness on its own is not considered a normal variation in toddler development and warrants further assessment.
Arvic who is diagnosed with diabetes mellitus type 1 displays symptoms of hypoglycemia; which of the following actions should the nurse instruct the parents?
- A. Give the child honey (simple sugar).
- B. Give the child milk (complex sugar).
- C. Contact the healthcare provider before doing anything.
- D. Give the child nothing by mouth.
Correct Answer: A
Rationale: In a patient with diabetes mellitus type 1 showing symptoms of hypoglycemia, it is important to take immediate action to raise their blood sugar levels. The best way to quickly raise blood sugar levels in a hypoglycemic patient is by giving them a simple sugar, such as honey, fruit juice, or glucose tablets. These sugars are rapidly absorbed into the bloodstream, providing a quick source of energy to the body. Milk, which was mentioned in option B, contains complex sugars and fats that may delay the increase in blood sugar levels. It is crucial to act promptly in a hypoglycemic situation, as untreated hypoglycemia can lead to serious complications, including seizures and loss of consciousness. Contacting the healthcare provider before giving treatment, as in option C, may cause dangerous delays in addressing the low blood sugar situation. Option D, giving the child nothing by mouth, is not appropriate in this scenario as it can wors