After a Whippie procedure for cancer of the pancreas, a client is to receive the following intravenous (IV) fluids over 24 hours; 1000 ml D5W; 0.5 liter normal saline; 1500 ml D5NS. In addition, an antibiotic piggyback in 50 ml D5W is ordered every 8 hours. The nurse calculates that the clients IV fluid intake Tor 24 hours will be:

Correct Answer: C

Rationale: To calculate the total IV fluid intake for 24 hours, we will add up the volume of each type of fluid ordered.

Correct Answer: A

Rationale: Monitoring head circumference is essential in children with meningitis to assess for possible development of hydrocephalus. Hydrocephalus is a potentially serious complication that can occur following meningitis. An increase in head circumference can indicate the accumulation of cerebrospinal fluid in the brain due to hydrocephalus. Regularly measuring the head circumference allows healthcare providers to detect any early signs of hydrocephalus and take appropriate actions such as further imaging or intervention. Monitoring for convulsions, assessing pupil size, and watching for vomiting are important aspects of care for a child with meningitis but are not specific to monitoring for hydrocephalus.

Correct Answer: A

Rationale: The orthopneic position is the best position to relieve cyanosis and dyspnea in an infant with tetralogy of Fallot. This position involves sitting up and leaning forward, which helps improve lung expansion and oxygenation. Placing the infant in the orthopneic position will reduce the workload on the heart, improve oxygenation, and relieve symptoms of cyanosis and dyspnea associated with tetralogy of Fallot. It allows for better expansion of the lungs and improves ventilation-perfusion matching, thereby enhancing oxygen exchange and alleviating the cyanotic spell.

Correct Answer: C

Rationale: Cisplatin is a cornerstone in the treatment of germ cell tumors.

Correct Answer: D

Rationale: Skin metastases are rare in neuroblastoma compared to bone, bone marrow, and lung involvement.