Answer to Question 1
D
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A Incorrect. Some chemotherapy drugs can cause ECG changes and rapidly progressive heart failure. The heart would be monitored with ECG and cardiac ejection fractions. Cardiac enzymes are measured to diagnose myocardial injury.
B Incorrect. The nurse might be concerned if hemoglobin and oxygen saturation levels were slightly low, not high.
C Incorrect. Thyroxine or T4 is not affected by chemotherapy.
D Correct. Prior to administering the chemotherapy, the nurse must check liver transaminase and bilirubin levels and report to the physician if the results are high. Liver toxicity seen with some chemotherapeutic agents ranges from elevation of hepatic enzymes to liver fibrosis and liver damage caused by long term use of these drugs. High transaminase and bilirubin levels may require a dose reduction or postponement of the agents.
Answer to Question 2
B
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A Incorrect: This statement does not best describe the basis of the school-age child's morality.
B Correct: At this level of Kohlberg's theory of moral development, the school-age child's morality is based on avoiding the disapproval of others and maintaining positive relationships with friends, family, and teachers.
C Incorrect: This statement does not best describe the basis of the school-age child's morality.
D Incorrect: During stage 4 the child is concerned with doing the right thing and showing respect for authority figures.
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