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
This action helps prevent aspiration by allowing any fluids to drain out of the mouth and minimizing the risk of airway obstruction. Placing the child on their side also reduces the risk of injury during the seizure.
B. Inserting objects into the mouth during a seizure is not recommended as it can cause injury to the child's teeth, gums, or tongue.
C. Attempting to stop the seizure: Nurses should not attempt to stop the seizure as it is a neurological event beyond their control. Seizure control is done through short acting antiseizures.
D. Restraining the child's arms can lead to injury. It is important to allow the child to move freely during the seizure while ensuring their safety from nearby hazards.
Correct Answer is C
Explanation
C. This statement emphasizes to the child that they are not responsible for the abuse they have experienced, helping to alleviate feelings of guilt or self-blame. This can provide validation and comfort to the child during a traumatic experience.
A. Involving the family in the discussion might not be appropriate if the family member is the perpetrator. The safety and well-being of the child should be the priority
B. This statement may make the child feel more isolated and conflicted about their feelings toward their family. It's important to acknowledge the abuse without placing blame or judgment on the family.
D. This statement undermines the nurse's duty to report suspected cases of child abuse to the appropriate authorities. Confidentiality cannot be guaranteed in cases of suspected abuse, as healthcare professionals are mandated reporters obligated to report any suspicions or evidence of abuse to protect the child's safety and well-being.
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