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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. RSV is primarily spread through respiratory droplets, so allowing the toddler to play in the common room may expose other children to the virus. The child should be placed in a private room.

B. Keeping the thermometer in the toddler's room allows for monitoring of the child's

temperature without the need to bring the thermometer to different areas, helping to prevent the potential spread of the virus.

C. Airborne precautions are not necessary for RSV. Standard precautions, including contact and droplet precautions, are sufficient.

D. Negative air pressure rooms are typically used for airborne infections such as tuberculosis, not for respiratory syncytial virus.

A. Body weight B. Blood pressure C. Skin integrity D. Respiratory rate E. Respiratory rate

Correct Answer is A

Explanation

A. Body weight is the most reliable indicator of fluid loss in an infant. Changes in weight can reflect changes in fluid balance more accurately than other parameters.
B. Blood pressure may be affected by severe dehydration, but it is not as sensitive or specific as changes in body weight.
C. Skin integrity can be affected by dehydration, but it is not as direct a measure of fluid loss as changes in body weight.
D. Respiratory rate can be influenced by various factors, including respiratory distress, and is not as specific to fluid loss as changes in body weight.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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