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

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ATI Pediatrics Proctored Exam 2023 Quizlet Questions

Question 1 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 2 of 5

The child who walks alone, makes a tower of 3 cubes, inserts a raisin in a bottle, and identifies 1 or more parts of the body is

Correct Answer: B

Rationale: These milestones are typically achieved around 15 months.

Question 3 of 5

Constellation of aniridia and hemihypertrophy is strongly associated with increased risk of which of the following tumors?

Correct Answer: C

Rationale: Aniridia and hemihypertrophy are features of WAGR syndrome, which increases the risk of Wilms tumor.

Question 4 of 5

A child with nephrotic syndrome has not experienced diuresis after a month on corticosteroids. What protocol can the nurse encourage to induce diuresis?

Correct Answer: B

Rationale: If diuresis has not occurred with corticosteroids in nephrotic syndrome, a diuretic like Furosemide (Lasix) is the appropriate choice to promote diuresis. Furosemide works by increasing urine production and reducing fluid retention. While Ibuprofen is an anti-inflammatory agent, it does not directly induce diuresis. Ciprofloxacin is an antibiotic and is not indicated for promoting diuresis in this scenario. Cyclophosphamide is an immunosuppressant, not an antisuppressant, and is not typically used to induce diuresis in nephrotic syndrome.

Question 5 of 5

A newborn's parents are being taught about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should be included?

Correct Answer: D

Rationale: The correct instruction to prevent SIDS is to give the infant a pacifier at bedtime. The use of a pacifier while the infant is sleeping is associated with a decreased risk of SIDS. Other recommended preventive measures include placing the infant on their back to sleep, using a firm mattress in the crib, and avoiding soft bedding or pillows.

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