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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A nurse is assessing a 12-month-old infant. Which statement best describes the infant's physical development a nurse should expect to find?
- A. Anterior fontanel closes by age 6 to 10 months.
- B. Binocularity is well established by age 8 months.
- C. Birth weight doubles by age 5 months and triples by age 1 year.
- D. Maternal iron stores persist during the first 12 months of life.
Correct Answer: C
Rationale: The statement that best describes the infant's physical development that a nurse should expect to find is that birth weight doubles by age 5 months and triples by age 1 year. This characteristic growth pattern is typical in the first year of life. Infants usually regain their birth weight by around 2 weeks of age, double it by about 5 months, and triple it by 1 year. This steady growth reflects the healthy development of the infant and is an important marker of overall well-being and nutrition. It is a key aspect that healthcare providers, including nurses, monitor closely to ensure the infant is thriving.
An adult suffered 2nd and third degree burns over 20% of hid body 2 days ago. What is the best way to assess the client's fluid balance?
- A. Maintain strict records of intake and output
- B. Monitor skin turgor
- C. Weigh the client daily
- D. Check for edema
Correct Answer: A
Rationale: Maintaining strict records of intake and output is the best way to assess the client's fluid balance in this situation. Severe burns can lead to fluid loss, which can result in dehydration and other complications. By carefully monitoring the amount of fluid the client is taking in (intake) and the amount of fluid being eliminated from the body (output), healthcare providers can assess the client's fluid balance and make necessary adjustments to prevent dehydration or fluid overload. This approach provides accurate and specific information to guide fluid management and ensure optimal recovery for the client with burns. Monitoring skin turgor, daily weight, and checking for edema are also important measures, but maintaining strict records of intake and output is the most direct and effective method for assessing fluid balance in a client with burns.
Persons with up to 70% prevalence of peculiar facial anatomy are considered risk factors for obstructive sleep apnea EXCEPT
- A. hypotonia
- B. developmental delay
- C. central adiposity
- D. hypothyroidism
Correct Answer: D
Rationale: Hypothyroidism is not a typical risk factor for obstructive sleep apnea.
The nurse is talking to the parents of a child with pediculosis capitis. Which should the nurse include when explaining how to manage pediculosis capitis?
- A. "You will need to cut the hair shorter if infestation and nits are severe."
- B. "You can distinguish viable from nonviable nits, and remove all viable ones."
- C. "You can wash all nits out of hair with a regular shampoo."
- D. "You will need to remove nits with an extra-fine-tooth comb or tweezers."
Correct Answer: D
Rationale: The nurse should include in the explanation that in managing pediculosis capitis, it is necessary to remove nits with an extra-fine-tooth comb or tweezers since nits are attached to the hair shaft and can be difficult to wash out with regular shampoo. Removing the nits is crucial to prevent reinfestation, as they can hatch and start the cycle again. Cutting the hair shorter is not necessary unless the infestation is severe. It is important to distinguish viable (live) nits from nonviable (dead) ones and remove only the viable ones as the nonviable ones do not pose a threat of reinfestation.
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.