A nurse is reinforcing teaching to the parent of a terminally ill child about end-of-life care. Which of the following statements by the parents indicates an understanding of the teaching?

"My child should not be involved in their treatment plan.”

"My child is too young for medication techniques to help with pain."

“Hospice will provide my child with spiritual and mental health care."

"We should not discuss the possibility of death with our child."

Answer and Explanation

The Correct Answer is C

A. "My child should not be involved in their treatment plan." Children, even those who are terminally ill, benefit from age-appropriate involvement in their care. Allowing them to participate in decisions when possible helps reduce anxiety and provides a sense of control.

B. "My child is too young for medication techniques to help with pain." Pain management, including medications and non-pharmacologic methods, is essential for children of all ages. Palliative care ensures comfort, regardless of age.

C. "Hospice will provide my child with spiritual and mental health care." Hospice care addresses the physical, emotional, and spiritual needs of terminally ill children and their families. Counseling, pastoral support, and grief resources are essential components of end-of-life care.

D. "We should not discuss the possibility of death with our child." Open and age-appropriate discussions about death help children understand their condition and process emotions. Avoiding the topic can lead to confusion and increased fear.

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Correct Answer is A

Explanation

A. "Tetralogy of Fallot is a group of four heart defects that impact circulation of blood in your child's body. These are pulmonary stenosis, ventricular septal defect, right ventricular hypertrophy, and an overriding aorta." This is the correct definition of Tetralogy of Fallot. The four defects result in decreased oxygenation of blood, leading to cyanosis and other circulatory problems that require medical intervention.

B. "Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to the atypical placement of the aorta." While an overriding aorta is one of the four defects in Tetralogy of Fallot, it is not the sole cause of circulatory problems. The condition results from a combination of four structural abnormalities, not just aortic malposition.

C. "Tetralogy of Fallot is a group of heart defects that impact the circulation of blood in your child's body. These are aortic stenosis, atrial septal defect, and left ventricular hypertrophy." This statement describes different congenital heart defects but does not accurately define Tetralogy of Fallot. Aortic stenosis and atrial septal defects are not components of this condition.

D. "Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to an opening in the wall between the ventricles, causing mixing of oxygenated and deoxygenated blood." While a ventricular septal defect (VSD) is one of the four components, it is not the only issue affecting circulation. The combination of all four defects contributes to the condition's severity.

A. Leukocytes B. Germ cells C. Epithelial cells D. Lymphocytes

Correct Answer is B

Explanation

A. Leukocytes. Leukocytes (white blood cells) are involved in the immune response and are not the primary cells affected in testicular cancer. Cancers of leukocytes include leukemia and lymphoma, not testicular cancer.

B. Germ cells. This is correct. Testicular cancer most commonly arises from germ cells, which are the cells responsible for producing sperm. Germ cell tumors (GCTs) account for over 90% of testicular cancers, including seminomas and non-seminomas.

C. Epithelial cells. Epithelial cells line various tissues and organs, but they are not the primary source of testicular cancer. Epithelial cell cancers, like carcinomas, more commonly affect the skin, lungs, and digestive tract.

D. Lymphocytes. Lymphocytes are a type of white blood cell involved in the immune system. Testicular lymphoma can occur but is rare compared to germ cell tumors, which are the most frequent type of testicular cancer in adolescents and young adults.

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A nurse is reinforcing teaching to the parent of a terminally ill child about end-of-life care. Which of the following statements by the parents indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of an infant diagnosed with tetralogy of Fallot. The infant's caregiver asks the nurse to explain this diagnosis. Which of the following is an accurate statement about this condition?

Correct Answer is A

Explanation

A nurse is assisting in the care of an adolescent client who has been diagnosed with testicular cancer. The nurse understands that testicular cancer most often develops from mutations of which of the following types of cells?

Correct Answer is B

Explanation

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