The child is admitted to the hospital unit newly diagnosed with retinoblastoma. Which clinical manifestation does the nurse anticipate upon assessment?
1. A white reflex
2. Blue-tinged sclerae
3. A red reflex
4. Yellow-tinged sclerae
1
Explanation:
1. The first sign of retinoblastoma is a white pupil. The red reflex is absent. This is known as leukocoria, or "cat's eye" reflex.
2. Blue-tinged sclerae are a sign of osteogenesis imperfecta, not retinoblastoma.
3. Red reflex is absent in retinoblastoma.
4. Yellow sclerae are a sign of jaundice, not retinoblastoma.
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According to Glaser and Strauss, the closed awareness model can be applied to family, friends, care providers, and the dying individual. Which of the following statements are true of the closed awareness model? (Select all that apply.)
a. Medical personnel and family keep the condition secret from the client. b. Caregivers and client know about impending death but do not talk about it. c. Caregivers and client accept death and have open conversations. d. Dying client feels isolated from the ability to share with family. e. Dying client becomes suspicious of the truth, and information is tightly controlled by family.
Which feature is characteristic of the grounded theory method of qualitative research?
a. Data gathering and data analysis occur simultaneously. b. The researcher has also experienced the phenomenon being studied. c. A grounded theory study is based on only a single research question. d. Participants in a grounded theory study must experience the phenomenon currently, during the study.
A patient is admitted to receive a kidney transplant from a live sibling. The nurse understands that which condition has been met for this surgery to be planned?
1. The human leukocyte antigens between the patient and sibling are very similar. 2. The human leukocyte antigens between the patient and sibling are very different. 3. The human leukocyte antigens of patient and sibling are an exact match. 4. The recipient's human leukocyte antigens have been eliminated.
Biotransformation is affected by many factors. What happens to the client's drug metabolism when liver function is decreased?
a. The client can develop toxicity. b. The client will have an enhanced therapeutic response. c. The client may require a larger than normal dose of the medication. d. The client will experience a decreased therapeutic response.