A 5-year-old child, recently diagnosed with ileocecal Burkitt lymphoma; lab investigations reveal: serum uric acid 12 mg/dl, serum sodium, 145 meq/dl; serum potassium, 4.5 meq/dl; serum phosphate 4.4 meq/dl; serum calcium, 8.9 mg/dl; blood urea, 22 mg/dl; serum creatinine, 0.8 mg/dl. Of the following, the MOST effective treatment is

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Question 1 of 5

A 5-year-old child, recently diagnosed with ileocecal Burkitt lymphoma; lab investigations reveal: serum uric acid 12 mg/dl, serum sodium, 145 meq/dl; serum potassium, 4.5 meq/dl; serum phosphate 4.4 meq/dl; serum calcium, 8.9 mg/dl; blood urea, 22 mg/dl; serum creatinine, 0.8 mg/dl. Of the following, the MOST effective treatment is

Correct Answer: D

Rationale: Recombinant urate oxidase (rasburicase) effectively lowers uric acid levels in cases of tumor lysis syndrome.

Question 2 of 5

An adolescent patient, who has pelvic inflammatory disease (PID), inquires about the effects of the disease on their ability to bear children. What is the pediatric nurse's best response?

Correct Answer: B

Rationale: PID can lead to scarring of the fallopian tubes, increasing the risk of ectopic pregnancy or infertility.

Question 3 of 5

A 16-year-old discusses his recent diagnosis of lupus with the nurse. Which statement best describes adolescent thinking regarding the future?

Correct Answer: B

Rationale: During adolescence, abstract thinking develops, allowing teens to envision future possibilities.

Question 4 of 5

The MOST common cause of sleeping difficulty in the first 2 months of life is

Correct Answer: B

Rationale: Colic is a frequent cause of sleep difficulties in young infants.

Question 5 of 5

By the age of 7 months, the infant is able to do all the following EXCEPT

Correct Answer: D

Rationale: Cruising typically occurs later, around 9-10 months.

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