Which of the following best describes a neuroblastoma?
Always causes urinary incontinence
Blood fed
Tiny
Unfortunately, much of the time, by the time a diagnosis has been made, metastasis has already occurred
The Correct Answer is D
Choice A: Urinary incontinence is a condition of involuntary loss of urine control, which can be caused by various factors, such as nerve damage, bladder dysfunction, or medication side effects. It is not always caused by neuroblastoma, which is a type of cancer that arises from immature nerve cells.
Choice B: Blood-fed is not a term that describes a neuroblastoma. Neuroblastoma is a type of cancer that arises from immature nerve cells, which can form tumors in various parts of the body, such as the adrenal glands, abdomen, chest, or spine.
Choice C: Tiny is not a term that describes a neuroblastoma. Neuroblastoma can vary in size and shape depending on the location and stage of the tumor. Some neuroblastomas can be very large and cause compression of nearby organs or structures.
Choice D: Unfortunately, much of the time, by the time a diagnosis has been made, metastasis has already occurred. This statement describes a neuroblastoma accurately. Neuroblastoma is a type of cancer that arises from immature nerve cells, which can spread rapidly to other parts of the body, such as the bones, liver, lymph nodes, or skin.
Metastasis is the process of cancer cells breaking away from the original tumor and forming new tumors elsewhere. Neuroblastoma often has no specific symptoms until it has metastasized, making it difficult to diagnose early and treat effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This choice is incorrect because taking glyburide with breakfast is not recommended for an adolescent who has type 1 diabetes mellitus. Glyburide is an oral hypoglycemic medication that lowers blood glucose levels by stimulating insulin secretion from the pancreas. It may be used for clients who have type 2 diabetes mellitus, but it does not work for clients who have type 1 diabetes mellitus or DKA.
Choice B reason: This choice is correct because obtaining an influenza vaccine annually is recommended for an adolescent who has type 1 diabetes mellitus. The influenza vaccine is a vaccine that protects against influenza, a viral infection that affects the respiratory system. It may prevent or reduce the severity of influenza and its complications, such as pneumonia or sepsis. It is recommended for everyone who is 6 months or older, especially those who have chronic conditions such as diabetes mellitus that increase their risk of influenza-related complications.
Choice C reason: This choice is incorrect because administering glucagon for hyperglycemia is not indicated for an adolescent who has type 1 diabetes mellitus. Glucagon is a hormone that raises blood glucose levels by stimulating glycogen breakdown in the liver. It may be used for clients who have hypoglycemia, which is a condition in which blood glucose levels are lower than normal (less than 70 mg/dL). It may cause symptoms such as sweating, trembling, confusion, or loss of consciousness. However, in type 1 diabetes mellitus, hyperglycemia (high blood glucose levels) rather than hypoglycemia is more likely to occur due to insulin deficiency or resistance.
Choice D reason: This choice is incorrect because injecting insulin in the deltoid muscle is not an optimal method for an adolescent who has type 1 diabetes mellitus. Insulin is a hormone that lowers blood glucose levels by facilitating glucose uptake into the cells. It may be administered by injection or infusion, and it may vary in onset, peak, and duration of action. The preferred sites for insulin injection are the abdomen, the thighs, the buttocks, or the upper arms, as they have more subcutaneous fat and less muscle tissue. Injecting insulin into the deltoid muscle may cause faster absorption and shorter duration of action, which can affect blood glucose control and increase the risk of hypoglycemia.
Correct Answer is B
Explanation
Choice A reason: This choice is incorrect because mumps is not the common name for pertussis. Mumps is a viral infection that causes inflammation of the salivary glands, especially the parotid glands. It may cause symptoms such as fever, headache, and swelling of the cheeks or jaw. It can be prevented by vaccination with the measles-mumps-rubella (MMR) vaccine.
Choice B reason: This choice is correct because whooping cough is the common name for pertussis. Pertussis is a bacterial infection that causes severe coughing spells, which may be followed by a high-pitched whoop sound or vomiting. It may cause complications such as pneumonia, seizures, or brain damage, especially in infants and young children. It can be prevented by vaccination with the diphtheria-tetanus-pertussis (DTaP) vaccine.
Choice C reason: This choice is incorrect because the fifth disease is not the common name for pertussis. The fifth disease is a viral infection that causes a rash on the face, trunk, and limbs, which may resemble a slapped cheek appearance. It may cause mild symptoms such as fever, runny nose, or joint pain. It usually affects children and is self-limiting.
Choice D reason: This choice is incorrect because chickenpox is not the common name for pertussis. Chickenpox is a viral infection that causes an itchy rash with fluid-filled blisters all over the body. It may cause symptoms such as fever, headache, or loss of appetite. It can be prevented by vaccination with the varicella-zoster (VZV) vaccine.
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