A nurse is conducting a class for adolescent girls about pelvic inflammatory disease (PID). Why should the nurse emphasize the importance of preventing pelvic inflammatory disease (PID)?

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Question 1 of 5

A nurse is conducting a class for adolescent girls about pelvic inflammatory disease (PID). Why should the nurse emphasize the importance of preventing pelvic inflammatory disease (PID)?

Correct Answer: C

Rationale: The nurse should emphasize the importance of preventing pelvic inflammatory disease (PID) because it can have devastating effects on the reproductive tract. PID is often caused by untreated sexually transmitted infections (STIs) and can lead to inflammation and scarring of the fallopian tubes, uterus, and surrounding tissues. If left untreated, PID can result in serious complications such as chronic pelvic pain, infertility, and ectopic pregnancy. Therefore, preventing PID through safe sexual practices and seeking prompt treatment for any signs of infection is crucial to protect the reproductive health of adolescent girls.

Question 2 of 5

Although most relapses in children with Wilms tumor occur early (within 2 yr of diagnosis) and have a favorable outcome, about 15% suffer relapse. Relapse includes all the following EXCEPT

Correct Answer: C

Rationale: Anaplastic histology is associated with a poorer prognosis and is not typically associated with favorable relapse outcomes.

Question 3 of 5

Metabolic derangement secondary to tumor lysis syndrome in children includes all the following EXCEPT

Correct Answer: B

Rationale: Hypernatremia is not typically associated with tumor lysis syndrome, whereas hyperuricemia, hyperkalemia, and hyperphosphatemia are common.

Question 4 of 5

Although the etiology of hepatoblastoma is unknown, there are many associated risk factors for development of hepatoblastoma EXCEPT

Correct Answer: D

Rationale: Hepatitis C infection is not a recognized risk factor for hepatoblastoma.

Question 5 of 5

A preschool child is being admitted to the hospital with dehydration and a urinary tract infection (UTI). Which urinalysis result should the nurse expect with these conditions?

Correct Answer: C

Rationale: When a child is admitted to the hospital with dehydration and a urinary tract infection (UTI), the urinalysis result that the nurse should expect is an increased white blood cell (WBC) count, indicated by WBC >2, along with a slightly elevated specific gravity, typically around 1.016. A specific gravity of 1.016 suggests some concentration of urine due to dehydration, while an increased WBC count indicates the presence of infection in the urinary tract. These findings are consistent with dehydration and UTI in a preschool child. Options A, B, and D do not fully align with the expected urinalysis results in this clinical scenario.

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