A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?
Do not palpate abdomen.
No venipuncture or blood pressure in left arm
Contact precautions
Collect all urine.
The Correct Answer is A
When assesssing the child with suspected or confirmed Wilm's tumor, it is important to avoid palpation of the abdomem. This is because it can lead to dislodging of the tumor cells
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This is a common symptom but bot a sign in children with otitis media. They may tug or pull at their ears due to discomfort or pain caused by the infection.
B. Manipulating the ear lobe can cause pain in children with otitis media because the infection often leads to inflammation and sensitivity in the ear area. This is, however, a symptom.
C. Erythema and edema are typical signs of inflammation, which can occur in the ear with otitis media.
D. While otitis media can cause some fluid buildup in the middle ear, clear drainage is not a common finding and may suggest another condition such as ear canal infection (otitis externa) or a perforated eardrum. Otitis media typically involves more purulent (pus-like) or cloudy fluid due to the infection.
Correct Answer is A
Explanation
A Wilms' tumor is a common kidney cancer that primarily affects children. One of the classic signs of this tumor is the presence of a large abdominal mass, which may be palpable upon physical examination and hematuria (pink-tinged urine).
B. Intussusception is a condition where a part of the intestine folds into another section, causing an obstruction. The symptoms can include episodes of severe abdominal pain, vomiting, bloody stools, and lethargy.
C. Nephritic syndrome is a renal condition characterized by inflammation. The symptoms often include hematuria, hypertension, and oliguria.
D. Pyloric stenosis is a condition where the distal opening of the stomach is obstructed due to smooth muscle hypertrophy. It presents with projectile vomiting after feeding, dehydration, and weight loss.
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