A client requests a recommendation for a hormone-free, easy to use form of contraception.
Which should the nurse suggest?

Copper intrauterine device.

Cervical ring.

Cervical cap.

Diaphragm.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The copper intrauterine device (IUD) is a highly effective, long-acting reversible contraceptive option that does not contain hormones. It works by releasing copper ions, which create an inflammatory reaction in the uterus, toxic to sperm and eggs, thus preventing fertilization and implantation. Its mechanism is entirely non-hormonal, meeting the client's request.

Choice B rationale

A cervical ring, often referring to a vaginal ring like the NuvaRing, releases hormones (estrogen and progestin) to prevent ovulation. This contradicts the client's request for a hormone-free method of contraception. Hormonal methods work by altering the menstrual cycle and preventing the release of an egg.

Choice C rationale

A cervical cap is a barrier method that requires the use of spermicide to be effective. While it is hormone-free, it is not considered "easy to use" as it requires precise placement over the cervix before each act of intercourse and removal afterward, often necessitating practice for proper insertion and fit.

Choice D rationale

A diaphragm is a barrier method that, similar to a cervical cap, requires the use of spermicide for efficacy. It must be inserted before intercourse and left in place for several hours afterward. This method, while hormone-free, is not considered "easy to use" due to the dexterity and understanding required for proper placement and removal.

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Correct Answer is ["42"]

Explanation

Step 1 is: Calculate the safe maximum dosage per day for the child. 7 mg/kg/day × 6 kg = 42 mg/day. The safe maximum dosage per day for this child is 42 mg.

A. Biopsy of the tumor. B. Bone marrow aspiration. C. CT scan of the abdomen and chest. D. Abdominal ultrasonography.

Correct Answer is A

Explanation

Choice A rationale

Biopsy of the tumor is the definitive diagnostic procedure for Wilms tumor. This involves the surgical removal of a tissue sample from the suspected mass, which is then examined microscopically by a pathologist. Histopathological analysis confirms the presence of malignant cells characteristic of nephroblastoma, differentiating it from other renal masses and guiding subsequent treatment protocols. Normal renal tissue structure is preserved in healthy kidneys.

Choice B rationale

Bone marrow aspiration is primarily used to diagnose hematological malignancies or assess for metastatic disease in certain cancers. While Wilms tumor can metastasize, particularly to the lungs, bone marrow involvement is uncommon and not the primary diagnostic method for confirming the initial diagnosis of the tumor itself. Normal bone marrow contains hematopoietic stem cells and a balanced cellularity.

Choice C rationale

A CT scan of the abdomen and chest provides detailed anatomical information about the tumor's size, location, and extent of involvement within the kidney and surrounding structures, as well as checking for metastasis to the lungs. While crucial for staging and surgical planning, a CT scan is an imaging modality and does not provide a definitive tissue diagnosis. Normal abdominal organs appear with distinct densities.

Choice D rationale

Abdominal ultrasonography is often the initial imaging modality used to evaluate a suspected abdominal mass in children due to its non-invasive nature and lack of radiation exposure. It can identify the presence of a renal mass and distinguish between solid and cystic lesions, but like CT, it cannot definitively diagnose Wilms tumor without tissue sampling. Normal kidneys appear as solid, homogeneous organs.

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A client requests a recommendation for a hormone-free, easy to use form of contraception. Which should the nurse suggest?

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Naxlex Comprehensive Predictor Exams

A child is prescribed Phenobarbital 18 mg twice a day PO. The child weighs 6 kg. The pediatric dosage range is 5-7 mg/kg/day. What is the safe maximum dosage per day for this child?

Correct Answer is ["42"]

Explanation

A nurse is caring for a pediatric client who is suspected to have Wilms tumor. Which of the following diagnostic procedures is key in confirming the diagnosis of Wilms tumor?

Correct Answer is A

Explanation

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A client requests a recommendation for a hormone-free, easy to use form of contraception.
Which should the nurse suggest?