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 A

Explanation

A. "Intussusception occurs when one segment of the intestine slides into another, which can cut off blood supply." is the correct explanation. Intussusception occurs when a part of the intestine telescopes into an adjacent section, causing a blockage that can cut off blood supply and lead to tissue death. This is a medical emergency requiring prompt treatment.

B. "Intussusception results from the twisting of the intestine, causing a blockage in the passage of food." is incorrect. While intussusception causes a blockage, it does not result from twisting; it involves one segment of the intestine sliding into another.

C. "Intussusception is a congenital condition where the layers of the intestinal wall do not form properly." is incorrect. Intussusception is not congenital in nature; it can occur in otherwise healthy infants and children but is not a result of improper formation of the intestinal wall layers.

D. "Intussusception is a consequence of weakened abdominal muscles, allowing a portion of the intestine to bulge." is inaccurate. Intussusception does not result from weakened abdominal muscles but rather from one part of the intestine slipping into another, which may cause the blockage and reduced blood flow.

A. No venipuncture or blood pressure in left arm B. Do not palpate abdomen. C. Collect all urine. D. Contact precautions

Correct Answer is B

Explanation

A. No venipuncture or blood pressure in left arm is incorrect. This is not a standard warning for a child with Wilms' tumor. The concern for venipuncture or blood pressure typically involves conditions like a dialysis access or a limb at risk, but it is not specific to Wilms' tumor.

B. Do not palpate abdomen is correct. Wilms' tumor, a type of kidney cancer, can be palpated in the abdomen. However, palpating the tumor may increase the risk of spreading cancerous cells or causing trauma to the tumor site, so it is crucial to avoid palpation.

C. Collect all urine is incorrect. While urine collection may be necessary for diagnostic testing, it is not a specific warning related to Wilms' tumor. This would be standard for other renal conditions but not directly related to Wilms' tumor.

D. Contact precautions is incorrect. While contact precautions may be required for infections, Wilms' tumor itself does not require contact precautions unless there is an associated infection.

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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 reinforcing education to parents of an infant who has intussusception. Which of the following statements would the nurse provide to the parents?

Correct Answer is A

Explanation

A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?

Correct Answer is B

Explanation

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