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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A 30-degree angle of elevation of the head of the bed is recommended for clients with spinal fusion surgery to help reduce pressure on the surgical site. It also promotes proper spinal alignment, and minimizes excessive strain on the surgical incision or spinal hardware displacement.
B. Protective isolation is not indicated for adolescents postoperative following scoliosis repair with Harrington rod instrumentation unless there are specific medical reasons, such as immunocompromised status.
C. Use of a PCA for pain management post spinal surgery is not appropriate. Other modes such oral should be explored for pain control
D. Log rolling is a technique used to safely reposition clients with spinal precautions to prevent twisting the spine.
Correct Answer is A
Explanation
Nephrotic syndrome is a renal condition characterized by increased permeability of the glomerular filtration barrier, leading to excessive protein loss in the urine. Cardinal features include : (proteinuria), hypoalbuminemia, edema, and hyperlipidemia.
B. Hypertension: While hypertension can occur in some cases of nephrotic syndrome, it is not a consistent finding.
C. Smokey brown urine: Smokey brown urine can be a sign of rhabdomyolysis or hemolysis, not nephrotic syndrome. In nephrotic syndrome, urine may appear foamy due to proteinuria
D. Polyuria: Polyuria is not a typical finding in nephrotic syndrome. Nephrotic syndrome is more commonly associated with oliguria (decreased urine output) due to decreased blood volume and activation of the renin-angiotensin-aldosterone system.
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