A child with non-Hodgkin's lymphoma will be starting chemotherapy. Which intervention is initiated before chemotherapy to prevent tumor lysis syndrome?
a. Insertion of a central venous catheter
b. Intravenous (IV) hydration containing sodium bicarbonate
c. Placement of an externalized ventriculoperitoneal (VP) shunt
d. Administration of pneumococcal and H. influenzae type B vaccines
B
Intensive hydration with an IV fluid containing bicarbonate alkalinizes the urine to help prevent the formation of uric acid crystals, which damage the kidney. A central venous catheter is placed to assist in delivering chemotherapy. An externalized VP shunt may be placed to relieve intracranial pressure caused by a brain tumor. If a splenectomy is necessary for a child with Hodgkin's disease, the pneumococcal and H. influenzae vaccines are administered before the surgery.
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Which of the following represents a concise, clear statement of the specific goal or aim of a research study?
a. The research problem was identified as the general area of ignorance surrounding the causation and diagnosis of meningococcal meningitis, especially among soldiers in uniform, and this constituted a significant gap in the literature. b. The purpose of the project, then, was to define changes in the variable of hypertension across time, with the four most prevalent treatment modalities prescribed by primary care physicians in the greater Chicago area. c. The phenomenon of depression experienced by the primary schoolchild was focused upon in this study. It is an under-researched topic, especially since recent research has identified correlational links with childhood obesity, especially Hispanic and African-American populations. d. Despite the fact that studying the disease, especially from standpoints of prevention and early detection, is costly and time-consuming, it represents a clear priority, since treatment itself is remarkably costly and the afflicted are not likely to experience even short remissions without early intervention.
A forensic nurse is demonstrating the role of advocate. Which of the following best describes the intervention being performed by the nurse?
a. Partner with public health professionals to implement programming b. Promote programs that prevent injuries c. Investigate injuries in the community d. Provide holistic care to victims of violence
converted to a percent is
A. 
.
B. 0.3%.
C. 33.3%.
D. 3%.
The nurse is preparing for the admission of an infant who will have several procedures performed. In which situation is informed consent required (Select all that apply)?
a. Catheterized urine collection b. Intravenous (IV) line insertion c. Oxygen administration d. Lumbar puncture e. Computed tomography (CT) scan with contrast