When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm.
The best explanation for this is.

some form of cancer.

local scalp infection common in children.

infection or inflammation distal to the site.

infection or inflammation close to the site.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Some form of cancer. Rationale: Tender, enlarged, and warm cervical lymph nodes are indicative of infection or inflammation close to the site. Cancerous lymph nodes are usually painless and firm. In this case, the symptoms suggest an active immune response to infection or inflammation in proximity to the palpated lymph nodes.

Choice B rationale:

Local scalp infection common in children. Rationale: Local scalp infection, while possible, typically does not cause tender, enlarged, and warm cervical lymph nodes. These symptoms are more consistent with an active immune response to infection or inflammation in the area near the lymph nodes.

Choice C rationale:

Infection or inflammation distal to the site. Rationale: Symptoms such as tenderness, enlargement, and warmth in cervical lymph nodes indicate a local response to infection or inflammation close to the site. "Distal" refers to a location away from the affected area, making this choice inappropriate for the described symptoms.

Choice D rationale:

Infection or inflammation close to the site. Rationale: Tender, enlarged, and warm cervical lymph nodes suggest an active immune response to infection or inflammation in the vicinity. These symptoms are signs of localized inflammation and are commonly seen in conditions such as tonsillitis, pharyngitis, or other upper respiratory infections.

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Correct Answer is C

Explanation

Choice A rationale:
Self-monitoring of blood glucose is not recommended primarily because it is a less expensive method of testing. The main reasons for self-monitoring include empowering the child to manage their diabetes, allowing for more frequent monitoring without hospital visits, and facilitating prompt adjustments in insulin or dietary intake.
Choice B rationale:
Self-monitoring of blood glucose can be quite accurate if done correctly. Accuracy depends on proper technique, calibration of the glucometer, and regular maintenance. It is comparable to laboratory testing when performed accurately.
Choice C rationale:
Children with diabetes need to learn to manage their condition as they grow older. Teaching them self-monitoring skills empowers them to take control of their health and make informed decisions about insulin dosages, dietary choices, and physical activity levels.
Choice D rationale:
While parental involvement is essential, self-monitoring of blood glucose is primarily about empowering the child to manage their diabetes. Parents play a supportive role in educating and supervising, but the child's active involvement is crucial for long-term management.

A. only in the third trimester from the maternal circulation. B. by a needlestick injury at birth from unsterile instruments. C. only through the ingestion of amniotic fluid. D. through the ingestion of breast milk from an infected mother.

Correct Answer is D

Explanation

Choice A rationale:

Perinatal transmission of HIV can occur not only in the third trimester but also during labor and delivery. It is not limited to the maternal circulation alone.

Choice B rationale:

While needlestick injuries are a potential risk for healthcare workers, perinatal transmission to the newborn does not occur through this route.

Choice C rationale:

HIV is not transmitted through the ingestion of amniotic fluid. The virus can be present in the amniotic fluid, but the main route of transmission to the newborn is during delivery or through breastfeeding.

Choice D rationale:

The correct answer. HIV can be transmitted from an infected mother to her child through breastfeeding if appropriate antiretroviral therapy is not administered. Breast milk can contain the virus, putting the infant at risk of infection. Therefore, in cases where the mother is HIV-positive, formula feeding is recommended to prevent transmission of the virus to the newborn.

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When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm.The best explanation for this is.

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Naxlex Comprehensive Predictor Exams

A parent asks the nurse why self-monitoring of blood glucose is being recommended for her child with diabetes. The nurse should base the explanation on what information?

Correct Answer is C

Explanation

Human immunodeficiency virus (HIV) may be perinatally transmitted.

Correct Answer is D

Explanation

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When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm.
The best explanation for this is.