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A nurse is providing teaching to a parent of a toddler who has a recent diagnosis of retinoblastoma. The parent asks the nurse which providers would be assigned to their child's care. Which of the following providers should the nurse expect to be included in this child's care? (Select All that Apply.)

Orthopedic surgeon

Radiation oncologist

Nutritionist

Play therapist

Audiologist

Answer and Explanation

Correct Answer : B,C,D

A. Orthopedic surgeon – Incorrect. Retinoblastoma does not require orthopedic intervention.

B. Radiation oncologist – Correct. Radiation therapy is a common treatment for retinoblastoma.

C. Nutritionist – Correct. Proper nutrition is important during cancer treatment to maintain the child's strength and immune function.

D. Play therapist – Correct. A play therapist helps young children cope with medical procedures and emotional distress.

E. Audiologist – Incorrect. Retinoblastoma does not typically affect hearing unless chemotherapy causes ototoxicity, which is less common.

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Correct Answer is ["A","D","E"]

Explanation

A. The child’s parent applies the prescribed medication instructed. – Correct. Proper administration of medication helps prevent infection and promotes healing.

B. The parent allows their child to attempt to lift their older sibling above the ground. – Incorrect. Strenuous activities should be avoided to prevent tube displacement.

C. The child’s parent enforces nose blowing when necessary. – Incorrect. Nose blowing should be avoided as it can increase pressure and dislodge the tubes.

D. The child’s parent states that they developed a plan to have their child use earplugs in the shower. – Correct. Water should be kept out of the ears to prevent infection.

E. The parent noticed purulent drainage from their child's ear and immediately reported it to the surgeon. – Correct. Reporting drainage helps identify potential infections early.

A. Glasgow Coma Scale (GCS) assessment B. RBC count C. Cerebrospinal fluid (CSF) analysis D. Magnetic resonance imaging (MRI)

Correct Answer is C

Explanation

A. Glasgow Coma Scale (GCS) assessment. – Incorrect. The GCS assesses neurological function but does not diagnose the underlying cause of symptoms.

B. RBC count. – Incorrect. A complete blood count (CBC) may be helpful, but it does not confirm meningitis.

C. Cerebrospinal fluid (CSF) analysis. – Correct. A lumbar puncture for CSF analysis is the gold standard for diagnosing bacterial or viral meningitis.

D. Magnetic resonance imaging (MRI). – Incorrect. An MRI may be used for complications but is not the initial diagnostic test for suspected meningitis

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A nurse is providing teaching for a parent of a preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago. Which of the following actions should the nurse identify as an indication that the teaching was effective? (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

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Correct Answer is C

Explanation

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