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 B
Explanation
A. Application of antibiotic ointment to the pin sites is not necessary as pins drilled into the bone are not used in buck extension traction.
B. Traction can be removed briefly during baths in cases where a pre-made boot is being used
C. Adequate hydration is essential for overall health and well-being, and fluid restriction could lead to dehydration, especially in a child with increased metabolic demands due to illness or injury.
D. Repositioning every 2 hours may not be necessary, as the child's position is generally stable with the traction device in place.
Correct Answer is B
Explanation
A. Gastritis is inflammation of the stomach lining and is typically not caused by streptococcal infections. There is no direct link between gastritis and rheumatic fever.
B. Rheumatic fever is an inflammatory condition that develops as a complication of inadequately treated Group A Streptococcus (GAS) infections such as strep throat.
Therefore, a history of a sibling having a sore throat 3 weeks ago is significant because it suggests a possible streptococcal infection.
C. Fifth disease, caused by parvovirus B19, is a viral infection that primarily affects children. It is not caused by streptococcal bacteria and is not associated with the development of rheumatic fever.
D. Chickenpox, caused by the varicella-zoster virus, is a viral infection and does not predispose a child to rheumatic fever.
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