The nurse is caring for a 2-week-old infant with a diagnosis of truncus arteriosus. The nurse is aware that surgical repair for truncus arteriosus is done at which of the following times?
a. within the first 1-2 weeks of life c. before 2 years old
b. at 6 months to 1 year d. no earlier than age 3
A
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A Correct. Surgical repair for truncus arteriosus is done within the first 1-2 weeks of life. Without treatment, the natural history of this defect is poor. The mean age of death is 2.5 months.
B Incorrect. Surgical repair for truncus arteriosus is not done at 6 months to 1 year. Surgery is recommended in the neonatal period.
C Incorrect. Surgical repair for truncus arteriosus is not done before 2 years old. Surgery is recommended in the neonatal period.
D Incorrect. Surgical repair for truncus arteriosus is not done later than 3 years. It is recommended in the neonatal period.
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Daycare centers for children who are medically fragile are being developed in response to the growing numbers of children with complex medical conditions. Which of the following statements explains an advantage of having these centers?
A) They encourage greater parental involvement in care. B) Their capabilities are similar to acute care. C) Insurance and Medicare cover their costs. D) They decrease the need for rehospitalization.
The nurse reinforces that the purpose of preoperative medication is to: (Select all that apply.)
a. reduce anxiety. b. decrease mucus secretion. c. counteract nausea. d. synergize anesthesia. e. enhance ventilation.
The two major forms of leukemia, acute and chronic, are classified by which criteria?
a. Predominant cell type b. Rate of progression c. Age of individual when cells differentiation occurs d. Stage of cell development when malignancy first occurs e. Serum level of leukocytes
The nurse is caring for a group of children on the pediatric unit. The nurse should collect further data and explore the possibility of child abuse in which of the following situations?
A) A 10-year-old with a simple fracture of the femur, which the caregiver reports was caused when the child fell down a set of stairs B) A 7-year-old with a spiral fracture of the humerus, which the caregiver reports was caused when the child was hit by a bat swung by a Little League teammate C) A 9-year-old with a compound fracture of the tibia, which the caregiver reports was caused when the child attempted a flip on a skateboard D) A 6-year-old with a greenstick fracture of the wrist, which the caregiver reports was caused when the child fell while ice-skating