A nurse is caring for a preschooler who has a brain tumor. Which of the following findings is the priority for the nurse to report to the provider?

Nightmares

Hyperactivity

Pruritus

Diplopia

Answer and Explanation

The Correct Answer is D

A. Nightmares are common in children and may not be directly related to the brain tumor. While they should be addressed, they are not the priority in this case.

B. Hyperactivity can be a normal behavior in preschoolers. It may or may not be related to the brain tumor. Other symptoms should take precedence.

C. Pruritus (itching) is a common symptom that can have various causes, and it may not be directly related to the brain tumor. It should be addressed but is not the priority in this case.

D. Correct. Diplopia (double vision) can be a neurological symptom associated with increased

intracranial pressure or other complications related to a brain tumor. It is important to report this finding promptly to the provider for further evaluation and intervention.

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Correct Answer is B

Explanation

A. The first dose of the Hepatitis B vaccine is typically administered shortly after birth, not at 12 months of age.

B. Correct. The first dose of the Varicella (chickenpox) vaccine is recommended at 12 months of age.

C. The Human Papillomavirus (HPV) vaccine is not typically started until the preadolescent or adolescent years, typically around ages 11-12.

D. The first dose of the Inactivated Polio Virus (IPV) vaccine is usually given at 2 months of age, with additional doses at 4 months and 6-18 months.

A. "I will have my child try to defecate 15 minutes after each meal." B. "I will limit my child's fluid intake." C. "I will have my child sit on the toilet for 20 minutes at a time." D. "I will increase my child's dairy intake."

Correct Answer is A

Explanation

A. This statement demonstrates an understanding of a helpful strategy for managing encopresis. Having the child try to defecate 15 minutes after each meal can take advantage of the body's natural reflexes and increase the likelihood of regular bowel movements.

B. Limiting fluid intake is not a recommended strategy for managing encopresis.
Maintaining proper hydration is important for overall health.

C. Having the child sit on the toilet for extended periods of time may lead to frustration and aversion to toilet training. It is not a recommended approach.

D. Increasing dairy intake is not a specific strategy for managing encopresis. In fact, some dairy products can contribute to constipation in some individuals. A balanced diet with an appropriate amount of fiber is important for bowel regularity.

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A nurse is caring for a preschooler who has a brain tumor. Which of the following findings is the priority for the nurse to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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