The nurse is taking care of an adolescent with osteosarcoma. The parents ask the nurse about treatment. The nurse should make which accurate response about treatment for osteosarcoma?

Bone marrow transplantation offers the best chance of long-term survival

Treatment usually consists of surgery and chemotherapy

Intensive irradiation is the primary treatment

Amputation of the affected extremity is rarely necessary

Answer and Explanation

The Correct Answer is B

A. Bone marrow transplantation offers the best chance of long-term survival is incorrect. Bone marrow transplantation is not the primary treatment for osteosarcoma. Treatment typically focuses on surgery and chemotherapy.

B. Treatment usually consists of surgery and chemotherapy is correct. The main treatment for osteosarcoma involves a combination of surgery (to remove the tumor) and chemotherapy (to treat any potential metastasis). This approach is the standard for achieving long-term survival in most cases.

C. Intensive irradiation is the primary treatment is incorrect. While radiation therapy can sometimes be used, it is not the primary treatment for osteosarcoma. Surgery and chemotherapy are the main modalities.

D. Amputation of the affected extremity is rarely necessary is incorrect. While limb-sparing surgery is often possible, amputation may still be required in some cases, depending on the location and extent of the tumor. Thus, saying amputation is rarely necessary may be misleading.

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Correct Answer is B

Explanation

A. "My baby's formula can be thickened with oatmeal." While some infants with reflux may benefit from thickening their formula, oatmeal is not typically recommended as a thickening agent. Parents should follow specific medical guidance on safe thickening agents for formula.

B. "I will keep my baby in an upright position after feedings." This statement demonstrates an understanding of appropriate management of gastroesophageal reflux (GER). Keeping the baby upright after feeding helps prevent the backflow of stomach contents into the esophagus, reducing reflux symptoms.

C. "I will have to feed my baby formula rather than breast milk." This statement is incorrect. Breast milk is not contraindicated for infants with GER, and in fact, breast milk may be easier to digest and may help reduce reflux symptoms compared to formula.

D. "I should position my baby side-lying during sleep." This statement is not recommended. Babies should be placed on their back for sleep, as side-lying positions can increase the risk of sudden infant death syndrome (SIDS). The back sleep position is safest for all infants, including those with reflux.

A. Brisk pupillary reaction to light. B. Increased sleepiness C. Tachycardia D. Depressed fontanels

Correct Answer is B

Explanation

A. Brisk pupillary reaction to light is a normal finding and does not indicate increased intracranial pressure (ICP). In fact, a sluggish or non-reactive pupil response is more indicative of increased ICP.

B. Increased sleepiness or lethargy is an early sign of increased ICP in infants. The brain’s response to rising pressure can cause altered mental status, which includes drowsiness or difficulty waking.

C. Tachycardia is not typically an early sign of increased ICP. As pressure increases, the heart rate can actually slow, and bradycardia (slower heart rate) is often seen in more advanced stages.

D. Depressed fontanels are not indicative of increased ICP. In fact, in infants, increased ICP is more commonly associated with bulging fontanels, not depressed ones. Depressed fontanels could indicate dehydration or malnutrition.

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The nurse is taking care of an adolescent with osteosarcoma. The parents ask the nurse about treatment. The nurse should make which accurate response about treatment for osteosarcoma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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