A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet.
Which intervention should the nurse instruct the mother to implement first?
Apply lotion to hands and feet.
Encourage the child to rest when possible.
Place the child in a quiet environment.
Make a list of foods that the child likes.
The Correct Answer is C
The nurse should instruct the mother to place the child in a quiet environment first. Kawasaki disease is an illness that can cause inflammation in the blood vessels and can lead to symptoms such as irritability and skin peeling. Placing the child in a quiet environment can help reduce stimulation and promote rest, which can help improve the child's symptoms. The other options (A, B, and D) may also be helpful, but placing the child in a quiet environment is a key intervention in this situation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Answer: A. Biopsy may rupture the encapsulated tumor and cause the cancer cells to spread.
Rationale:
A) Biopsy may rupture the encapsulated tumor and cause the cancer cells to spread:
Wilms tumor is an encapsulated tumor, and performing a biopsy could risk rupturing the capsule, leading to the dissemination of cancer cells to other parts of the body. To avoid this complication, surgery is typically performed first to remove the tumor, and histological examination is done on the excised tumor tissue.
B) Metal clips are surgically applied at the tumor site for exact marking for radiation:
Metal clips are not typically used for marking tumor sites in the context of Wilms tumor surgery. The main concern with biopsy is the risk of tumor rupture rather than marking for radiation.
C) Surgery is necessary to stage the tumor and determine metastasis to other sites:
While surgery helps in staging the tumor and assessing for metastasis, the primary reason for performing surgery before a biopsy is to avoid the risk of spreading cancer cells due to tumor rupture. Staging and assessment are secondary benefits of surgical intervention.
D) The surgery provides a visualization of other pathology and dysfunction of the kidney:
While surgery can help visualize other issues related to the kidney, the main reason for performing surgery before biopsy in the case of Wilms tumor is to prevent the risk of spreading cancer cells. The focus is on the safety of managing the tumor rather than general kidney pathology.
Correct Answer is A
Explanation
The child with gastroesophageal reflux should avoid acidic and spicy foods, as well as high-fat and high- sugar foods. Sugar cookies are a low-fat and low-sugar snack, which indicates that the child understands the dietary restrictions. Choices B, C, and D are high in fat, sugar, or acid and may exacerbate gastroesophageal reflux symptoms.
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