In neuroblastoma, metastatic spread can occur via local invasion or distant hematogenous/lymphatic routes. The LEAST common site of metastases in neuroblastoma is

Correct Answer: D

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

Correct Answer: D

Rationale: People with sickle cell disease (SCD) are at a higher risk of infections due to their impaired immune system. Infections can trigger a sickle cell crisis, which can be life-threatening. Therefore, proper hand washing and infection avoidance are crucial components of the care plan for clients with SCD. This topic should be included in Nurse Katriz's client education program to help reduce the risk of infections and promote better health outcomes for individuals with SCD.

Correct Answer: C

Rationale: The correct way to prepare a suspension before administration is by shaking it so that all the drug particles are dispersed uniformly. Suspending agent particles settle over time, creating a layer of liquid at the top and a layer of solid at the bottom. By shaking the suspension, the nurse ensures that the drug particles are fully mixed and distributed evenly throughout the liquid. This step is crucial to ensure that the patient receives the correct dosage of the medication with each administration. Diluting the suspension with normal saline or dextrose solutions or crushing remaining particles with a mortar and pestle are not recommended methods for preparing a suspension before administration.

Correct Answer: C

Rationale: Prevalence = (Number of infected / Total population) * 100 = (57,000 / 530,000) * 100 ≈ 10.75%.

Correct Answer: B

Rationale: These skills are typically developed by age 3.