A child with glomerulonephritis receiving corticosteroid treatment requires dietary teaching. What instruction should the nurse provide to the parent?

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Question 1 of 9

A child with glomerulonephritis receiving corticosteroid treatment requires dietary teaching. What instruction should the nurse provide to the parent?

Correct Answer: C

Rationale: The correct answer is to offer the child a variety of fresh fruits. Glomerulonephritis and corticosteroid use can lead to potassium depletion. Fresh fruits are a good source of potassium, which can help counteract the depletion caused by corticosteroids. Encouraging a variety of fresh fruits can provide necessary nutrients and help maintain a balanced diet for the child.

Question 2 of 9

Normal values (reference intervals) are difficult to establish within the pediatric population. Many variables should be considered when developing reference intervals. All the following are variables that commonly considered to define reference intervals EXCEPT

Correct Answer: D

Rationale: Subclinical disease is not typically used as a variable for defining reference intervals.

Question 3 of 9

A child with croup has an increased PCO2, a decreased pH, and a normal HCO3 blood gas value. Which finding does the nurse report to the healthcare provider based on these data?

Correct Answer: C

Rationale: The blood gas values indicate uncompensated respiratory acidosis. In respiratory acidosis, there is an increased PCO2, decreased pH, and a normal HCO3 level. This condition requires immediate attention to address the underlying respiratory problem causing the acidosis.

Question 4 of 9

Many factors in nasopharyngeal carcinoma patients may affect the prognosis. Which of the following carries the worst outcome?

Correct Answer: A

Rationale: Elevated LDH levels are strongly associated with aggressive disease and poor prognosis.

Question 5 of 9

A 2-mo-old male infant has a left flank mass discovered incidentally by the mother; radiological imaging reveals a left renal mass. Of the following, the MOST likely diagnosis is

Correct Answer: A

Rationale: Nephroblastoma (Wilms tumor) is the most common renal malignancy in infants.

Question 6 of 9

Which of the following chromosomal abnormalities of childhood ALL carries the highest risk of relapse despite intensive chemotherapy?

Correct Answer: A

Rationale: The Philadelphia chromosome (t(9;22)) is associated with a high risk of relapse in ALL.

Question 7 of 9

A child with glomerulonephritis receiving corticosteroid treatment requires dietary teaching. What instruction should the nurse provide to the parent?

Correct Answer: C

Rationale: The correct answer is to offer the child a variety of fresh fruits. Glomerulonephritis and corticosteroid use can lead to potassium depletion. Fresh fruits are a good source of potassium, which can help counteract the depletion caused by corticosteroids. Encouraging a variety of fresh fruits can provide necessary nutrients and help maintain a balanced diet for the child.

Question 8 of 9

During a physical assessment of a hospitalized 5-year-old child, the healthcare provider notes that the foreskin has been retracted and is very tight on the shaft of the penis; they are unable to return it over the head of the penis. What action should the healthcare provider implement?

Correct Answer: C

Rationale: The correct action is to notify the healthcare provider in charge of this occurrence of paraphimosis. Paraphimosis is a urologic emergency where the foreskin is retracted and becomes tight, potentially impeding blood flow to the penis. It is crucial to seek medical intervention promptly to prevent complications.

Question 9 of 9

A 5-year-old boy is one of the shortest in class. His father is 6' tall and his mother 5'7'. What should the nurse tell his mother?

Correct Answer: B

Rationale: During the school-age years, children generally grow about 2 inches per year.

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