A child with a history of fever of unknown origin, excessive bruising, lymphadenopathy, and fatigue is exhibiting symptoms most suggestive of which condition?
a. Ewing's sarcoma
b. Wilms' tumor
c. Neuroblastoma
d. Leukemia
D
Symptoms of a history of fever of unknown origin, excessive bruising, lymphadenopathy, and fatigue reflect bone marrow failure and organ infiltration, which occur in leukemia. Symptoms of Ewing's sarcoma involve pain and soft tissue swelling around the affected bone. Wilms' tumor usually manifests as an abdominal mass with abdominal pain and may include renal symptoms, such as hematuria, hypertension, and anemia. Neuroblastoma manifests primarily as an abdominal, chest, bone, or joint mass. Symptoms are dependent on the extent and involvement of the tumor.
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Risk factors for the development of bladder cancer include which of the below? (select all that apply.)
a. high fluid consump-tion d. chronic bladder in-flammation b. genetics e. working with paint products c. smoking f. birth defects of the bladder
The CNA tearfully reports that a resident deliberately exposes himself to her and makes lewd suggestions. What would be an appropriate modification to this patient's plan of care?
a. Assign only males to care for the resident. b. Chastise the resident for lewd behavior. c. Restrain the hands of the resident during routine care. d. Modify clothing choices to one-piece garments or elastic waist trousers.
During the 1970s, the nursing profession viewed itself as a scientific discipline evolving toward a theoretically based practice focusing on the client. Which stage of theory and philosophy development is this the correct description?
A) Silent knowledge B) Received knowledge C) Subjective knowledge D) Procedural knowledge
The nurse is assessing bilateral deep pitting edema that rebounds in 10-20 seconds. The nurse would chart this as
A. +2 B. -4 C. -2 D. +4