The clue to need a help for a child who does not respond correctly to 'Give me' or 'Sit down' or 'Come here' when spoken without gestural cues is by age of

Correct Answer: D

Rationale: By 24 months, a child should be able to follow simple commands without gestures.

Correct Answer: B

Rationale: Providing a solution of hydrogen peroxide and water for use as a mouth rinse is most likely to decrease the pain of stomatitis. Stomatitis is inflammation of the oral mucous membranes and can be quite painful for oncology clients undergoing chemotherapy. Using a solution of hydrogen peroxide and water as a mouth rinse can help reduce the risk of infection and promote healing of the mucous membranes, thereby decreasing the pain associated with stomatitis. This intervention helps to maintain oral hygiene and prevent further complications, making it an effective way to manage the client's symptoms while undergoing chemotherapy. It is important to note that discontinuing chemotherapy would not be a recommended intervention as it is the primary treatment for the client's cancer. Monitoring platelet and leukocyte counts and checking for signs and symptoms of stomatitis are important aspects of care, but providing a mouth rinse would directly address the pain and discomfort experienced by the client.

Correct Answer: A

Rationale: In the Snellen eye chart test, the first number (20) represents the distance at which the client is standing from the chart, while the second number (40) represents the distance at which a person with normal vision can read the same line on the chart. A person with 20/40 vision can see letters at 20 feet that a person with normal vision can see at 40 feet. This means that the client's vision is below the standard for normal vision, indicating that they may need corrective lenses to improve their visual acuity.

Correct Answer: A

Rationale: The primary critical observation for Apgar scoring is the heart rate. This is because the heart rate is vital for life and immediate assessment of the infant's heart rate provides crucial information about the baby's overall well-being and response to the birthing process. The Apgar score assesses five components: heart rate, respiratory effort, muscle tone, reflex irritability, and skin color. Among these components, the heart rate is considered the most critical because it directly reflects the infant's cardiovascular status and their ability to maintain adequate perfusion of vital organs. Therefore, for quick assessment and immediate intervention, the heart rate is prioritized as the primary observation in Apgar scoring.

Correct Answer: D

Rationale: Osteosarcoma is relatively radioresistant compared to other listed tumors.