The nurse is taking care of an adolescent with osteosarcoma. The parents ask the nurse about treatment. The nurse should make which accurate response about treatment for osteosarcoma?
Bone marrow transplantation offers the best chance of long-term survival
Treatment usually consists of surgery and chemotherapy
Intensive irradiation is the primary treatment
Amputation of the affected extremity is rarely necessary
The Correct Answer is B
A. Bone marrow transplantation offers the best chance of long-term survival is incorrect. Bone marrow transplantation is not the primary treatment for osteosarcoma. Treatment typically focuses on surgery and chemotherapy.
B. Treatment usually consists of surgery and chemotherapy is correct. The main treatment for osteosarcoma involves a combination of surgery (to remove the tumor) and chemotherapy (to treat any potential metastasis). This approach is the standard for achieving long-term survival in most cases.
C. Intensive irradiation is the primary treatment is incorrect. While radiation therapy can sometimes be used, it is not the primary treatment for osteosarcoma. Surgery and chemotherapy are the main modalities.
D. Amputation of the affected extremity is rarely necessary is incorrect. While limb-sparing surgery is often possible, amputation may still be required in some cases, depending on the location and extent of the tumor. Thus, saying amputation is rarely necessary may be misleading.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "My baby's formula can be thickened with oatmeal." While some infants with reflux may benefit from thickening their formula, oatmeal is not typically recommended as a thickening agent. Parents should follow specific medical guidance on safe thickening agents for formula.
B. "I will keep my baby in an upright position after feedings." This statement demonstrates an understanding of appropriate management of gastroesophageal reflux (GER). Keeping the baby upright after feeding helps prevent the backflow of stomach contents into the esophagus, reducing reflux symptoms.
C. "I will have to feed my baby formula rather than breast milk." This statement is incorrect. Breast milk is not contraindicated for infants with GER, and in fact, breast milk may be easier to digest and may help reduce reflux symptoms compared to formula.
D. "I should position my baby side-lying during sleep." This statement is not recommended. Babies should be placed on their back for sleep, as side-lying positions can increase the risk of sudden infant death syndrome (SIDS). The back sleep position is safest for all infants, including those with reflux.
Correct Answer is B
Explanation
A. No venipuncture or blood pressure in left arm is incorrect. This instruction is often associated with patients who have a shunt, a limb with an established intravenous line, or another condition, but it is not specific to Wilms' tumor.
B. Do not palpate abdomen is correct. Wilms' tumor is a type of kidney cancer in children, and the tumor is often palpable in the abdomen. Palpating the abdomen could cause the tumor to rupture, leading to the spread of cancerous cells. To avoid this risk, the abdomen should not be palpated.
C. Collect all urine is incorrect. While urine collection might be necessary for monitoring renal function or assessing signs of metastasis, it is not a standard precaution or warning for a child with Wilms' tumor.
D. Contact precautions is incorrect. Wilms' tumor is not contagious, so contact precautions are not required unless there is a coexisting infectious condition.
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