A nurse notices a school-age child with leukemia experiencing severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

Administer an antiemetic as soon as the child complains of having nausea.

Encourage drinking large amounts of favorite fluids.

Administer an antiemetic before chemotherapy begins.

Encourage the child to skip meals on the day of chemotherapy to avoid triggering nausea.

Answer and Explanation

The Correct Answer is C

A.   Administering an antiemetic only when the child complains of nausea may not be effective in preventing chemotherapy-induced nausea.
B.   Encouraging drinking fluids is important, but it is not the most effective way to manage nausea.
C.   Administering an antiemetic before chemotherapy begins is the best approach to prevent nausea and vomiting associated with chemotherapy.
D.   Skipping meals may contribute to nausea and malnutrition, so this is not an appropriate approach.

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Correct Answer is C

Explanation

A. Low levels of AFP are not diagnostic of any condition, but they could indicate a potential issue, requiring further investigation.
B. A negative AFP test does not rule out genetic issues, as AFP is just one screening tool.
C. High levels of AFP may indicate a neural tube defect or other issues and warrant further testing, such as ultrasound or amniocentesis.
D. An elevated AFP level is associated with neural tube defects but does not definitively indicate the presence of one without further testing.

A. Administration of nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management B. Restriction of weight-bearing activities to prevent further damage C. Prescription of crutches for mobility assistance D. Application of ice packs to reduce inflammation E. Immediate referral to an orthopedic specialist for evaluation F. Application of a heat pack to relieve muscle tension

Correct Answer is ["B","C","E"]

Explanation

A. NSAIDs may help with pain management, but they are not the primary treatment for SCFE.
B. Restricting weight-bearing activities is crucial to prevent further damage and complications to the affected hip joint.
C. Crutches may be prescribed to assist with mobility and prevent weight-bearing on the affected hip.
D. Ice packs may reduce inflammation but are secondary to more important interventions like weight restriction and orthopedic referral.
E. Immediate referral to an orthopedic specialist is necessary for appropriate diagnosis and management, including possible surgery.
F. Heat packs are not recommended for SCFE because they could increase blood flow and swelling in the affected area.

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A nurse notices a school-age child with leukemia experiencing severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

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A nurse is teaching a group of pregnant clients about health screening during pregnancy. When discussing Alpha-fetoprotein (AFP) testing, which of the following statements should be included in the education?

Correct Answer is C

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