The nurse has reviewed the physician's prescriptions for a child suspected of a diagnosis of neuroblastoma and is preparing to implement diagnostic procedures that will confirm the diag-nosis. The nurse most appropriately prepares to:
1. Collect a 24-hour urine sample.
2. Perform a neurological assessment.
3. Assist with a bone marrow aspiration.
4. Send the child to the radiology department for a chest x-ray.
1
Rationale: Neuroblastoma is a solid tumor found only in children. It arises from neural crest cells that develop into the sympathetic nervous system and the adrenal medulla. Typically, the tumor infringes on adjacent normal tissue and organs. Neuroblastoma cells may excrete catecholamines and their metabolites. Urine samples will indicate elevated vanillylmandelic acid (VMA) levels. A bone marrow aspiration will assist in determining marrow involvement. A neurological examination and a chest x-ray may be performed but will not confirm the diagnosis.
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Which vasoconstrictor is usually associated with the treatment of anaphylaxis?
1. Norepinephrine (Levophed) 2. Epinephrine 3. Dopamine (Dopastat) 4. Dobutamine (Dobutrex)
An elderly patient is going through drug and alcohol withdrawal, suffering from hallucinations followed by loud emotional outbursts. A nurse identifies this condition as
1. Dementia. 2. Delirium. 3. Depression. 4. Confusion.
During the introductory phase of interviewing for the purpose of obtaining information for the nursing history, the nurse should:
A) review literature pertinent to the client's attributes. B) assess personal feelings regarding similar clinical situations. C) inform the client of the maintenance of confidentiality. D) implement supportive nursing interventions.