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A nurse is providing teaching to a parent of a toddler who has a recent diagnosis of retinoblastoma. The parent asks the nurse which providers would be assigned to their child's care. Which of the following providers should the nurse expect to be included in this child's care? (Select All that Apply.)

Orthopedic surgeon

Radiation oncologist

Nutritionist

Play therapist

Audiologist

Answer and Explanation

Correct Answer : B,C,D

A. Orthopedic surgeon – Incorrect. Retinoblastoma does not require orthopedic intervention.

B. Radiation oncologist – Correct. Radiation therapy is a common treatment for retinoblastoma.

C. Nutritionist – Correct. Proper nutrition is important during cancer treatment to maintain the child's strength and immune function.

D. Play therapist – Correct. A play therapist helps young children cope with medical procedures and emotional distress.

E. Audiologist – Incorrect. Retinoblastoma does not typically affect hearing unless chemotherapy causes ototoxicity, which is less common.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","C","E","G"]

Explanation

A. Measure abdominal girth – Correct. Measuring abdominal girth helps monitor for signs of obstruction, which is common in Hirschsprung’s disease due to the absence of ganglion cells in the colon.

B. Teach the child deep breathing exercises – Incorrect. Deep breathing exercises are not typically taught to infants or young children undergoing surgery for Hirschsprung’s disease.

C. Assess the child's bowel function with characteristics of stool – Correct. Assessing stool patterns is important since Hirschsprung’s disease is characterized by an absence of peristalsis in the affected bowel.

D. Administer isotonic enema to evacuate bowel – Incorrect. Enemas are contraindicated in Hirschsprung’s disease as they can lead to bowel perforation.

E. Administer an antibiotic as per order – Correct. Preoperative antibiotics are given to prevent infection.

F. Restrict the child's fluid intake – Incorrect. Fluid restriction is not necessary and may worsen dehydration, especially if the child has vomiting or diarrhea.

G. Assess vomiting – Correct. Vomiting can indicate worsening obstruction or enterocolitis, a serious complication of Hirschsprung’s disease.

A. facilitate proper feeding and swallowing in the infant B. promote comfort and relaxation in the infant C. prevent the infant from injuring the repair site D. encourage the infant to use their arms and hands for exploration

Correct Answer is C

Explanation

A. Facilitate proper feeding and swallowing in the infant. – Incorrect. Feeding modifications are needed, but elbow restraints do not assist with swallowing.

B. Promote comfort and relaxation in the infant. – Incorrect. Restraints prevent disruption of the surgical site but do not specifically provide comfort.

C. Prevent the infant from injuring the repair site. – Correct. Elbow restraints prevent the infant from touching or rubbing the surgical site, reducing the risk of wound dehiscence.

D. Encourage the infant to use their arms and hands for exploration. – Incorrect. The purpose of the restraints is to limit arm movement, not promote exploration.

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Naxlex Comprehensive Predictor Exams

A child diagnosed with Hirschsprung's disease is scheduled for surgery. Which of the following actions should the nurse include in the preoperative care for this child? (Select All that Apply.)

Correct Answer is ["A","C","E","G"]

Explanation

What is the primary purpose of using elbow restraints (NoNo's) in an infant following a cleft lip repair surgery? To:

Correct Answer is C

Explanation

A nurse is caring for a preschooler who has strabismus. Which of the following should the nurse identify as a possible complication of this condition?

36. A nurse is assessing a child who has experienced a febrile seizure. Which of the following factors should the nurse identify as the cause of the seizure?

A nurse is teaching a newly hired nurse about how family members are affected by the terminal diagnosis of a child. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

A nurse is providing teaching for a parent of a preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago. Which of the following actions should the nurse identify as an indication that the teaching was effective? (Select All that Apply.)

A nurse is assisting with the plan of care for a 6-month.old infant who has a cleft palate. Which area should the nurse consider when addressing the child's overall development?

A nurse is caring for a child with a seizure in the hospital. Which nursing interventions are appropriate for this child? (Select All that Apply.)

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