The nurse should base a response to a parent's question about the prognosis of acute lymphoblastic leukemia (ALL) on which information?
a. Leukemia is a fatal disease although chemotherapy provides increasingly longer periods of remission.
b. Research to find a cure for childhood cancers is very active.
c. The majority of children go into remission and remain symptom free when treatment is completed.
d. It usually takes several months of chemotherapy to achieve a remission.
C
Children diagnosed with the most common form of leukemia, ALL, can almost always achieve remission, with a 5-year disease-free survival rate approaching 85%. With the majority of children surviving 5 years or longer, it is inappropriate to refer to leukemia as a fatal disease. Although research to find a cure for childhood cancers is very active, it does not address the parent's concern. About 95% of children achieve remission within the first month of chemotherapy. If significant numbers of blast cells are still present in the bone marrow after a month of chemotherapy, a new and stronger regimen is begun.
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Which information in the preoperative patient's medication history is most important to communicate to the health care provider?
a. The patient uses acetaminophen (Tylenol) occasionally for aches and pains. b. The patient takes garlic capsules daily but did not take any on the surgical day. c. The patient has a history of cocaine use but quit using the drug over 10 years ago. d. The patient took a sedative medication the previous night to assist in falling asleep.
A mother reports that her adolescent is always late. The mother states, "She was born late and has been late every day of her life." Which response should the nurse make to this mother?
1. "You need to establish specific time frames for your adolescent and be certain she adheres to them." 2. "You should not expect your adolescent to be an ‘on-time' individual unless you set specific alarms and then reinforce the value of being ‘on-time.'" 3. "You should not expect your adolescent to be on time. Teenagers are always late." 4. "You have a major problem. There must be a lot of screaming in your home."
The nurse is explaining the difference of Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD) to a parent. The best explanation is:
1. "A child with CD is remorseful for bad behavior.". 2. "A child who has ADHD will have ODD too.". 3. "A child with ODD feels bad after breaking the rules, while a child with CD does not care if the rules are broken.". 4. "A child with CD requires constant intervention to be able to function in society.".
A situation where repeated administration of the same dose of a drug results in gradually ___________ effects is called tolerance.
Fill in the blank(s) with the appropriate word(s).