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?
Collect all urine.
Contact precautions.
Do not palpate abdomen.
No venipuncture or blood pressure in left arm.
The Correct Answer is C
A. Collecting all urine may be a part of the diagnostic process, but it is not the primary warning associated with Wilms' tumor.
B. Contact precautions are not typically required for Wilms' tumor.
C. The warning "Do not palpate abdomen" is crucial because palpation can potentially disrupt the tumor and cause hemorrhage.
D. No venipuncture or blood pressure in the left arm is not a typical precaution associated with Wilms' tumor. The emphasis is on avoiding abdominal palpation to prevent trauma to the tumor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Blood cultures are important in the diagnostic workup for bacterial meningitis, but the priority is to obtain cerebrospinal fluid through a lumbar puncture for definitive diagnosis.
B. A lumbar puncture is a priority in suspected bacterial meningitis to assess the cerebrospinal fluid for signs of infection and to guide appropriate treatment.
C. Administering an intravenous antibiotic is an important intervention, but the lumbar puncture takes precedence for confirming the diagnosis.
D. Placing the child in isolation is important for preventing the potential spread of infection, but the immediate diagnostic priority is the lumbar puncture.
Correct Answer is B
Explanation
A. Water alone may not provide the necessary electrolytes and sugars to help rehydrate the child effectively.
B. Oral rehydration solution is specifically designed to replace fluids and electrolytes lost during episodes of diarrhea or vomiting. It is the recommended choice for managing dehydration due to acute gastroenteritis.
C. Broth may provide some fluid but lacks the optimal balance of electrolytes and sugars found in oral rehydration solutions.
D. Diluted apple juice may not be as effective as an oral rehydration solution in replacing electrolytes and preventing dehydration.
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