A nurse notes in a patient's medical record high levels of vanillymandelic acid (VMA). Based on this information, which condition does the nurse prepare to educate the patient and family about?

A.
Ewing's sarcoma
B.
Hodgkin's lymphoma
C.
Neuroblastoma
D.
Wilms' tumor


ANS: C
VMA and homovanillic acid (HVA) are tests used to measure the level of catecholamine metabolites in the urine. Neuroblastomas typically secrete catecholamines, so high levels of either substance are indicative of neuroblastoma.

Nursing

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A nurse is planning care for a client with a contact dermatitis. When conducting discharge teaching, which statement by the nurse is appropriate?

A) "Bathe or shower twice daily to reduce allergen contact." B) "Avoid the use of all lotions." C) "When using steroid ointments, use a thick layer on dry skin for maximum absorption." D) "Use steroid ointments for 2 to 3 weeks for best results."

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What nursing action should be implemented when dealing with a patient who is an alcoholic in denial and claims to only drink in social situations?

a. Insist that he stop drinking entirely. b. Point out that the patient is using denial. c. Help the patient investigate ways to re-duce drinking. d. Provide information on Alcoholics Ano-nymous.

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One of the most commonly used tools in health care organizations is SWOT analysis. What is the definition for opportunities?

A) Internal attributes that help an organization achieve its objectives B) Internal attributes that challenge an organization in achieving its objectives C) External conditions that promote achievement of organizational objectives D) External conditions that challenge or threaten the achievement of organizational objectives

Nursing

A client with anemia needs to take 1 milligram of folic acid per day. She has scored 400-mcg tablets. The client should take ____________________ tablets per day

Fill in the blank(s) with correct word

Nursing