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 A
Explanation
A. Placing the child on droplet precautions is the first priority to prevent the potential spread of infection, as epiglottitis is often caused by bacterial infection.
B. While obtaining an x-ray may be part of the diagnostic process, the immediate concern is to prevent the spread of infection.
C. Administering IV fluids may be necessary, but placing the child on droplet precautions takes precedence.
D. Initiating IV antibiotics is an essential treatment for epiglottitis, but placing the child on droplet precautions is the initial step to prevent transmission to healthcare providers and other patients.
Correct Answer is B
Explanation
A. A toy hammer and pounding board may not be appropriate in a hospital setting and might not effectively address the child's emotional distress.
B. A stuffed animal can provide comfort and a sense of security for a young child experiencing separation anxiety. It serves as a transitional object, helping the child cope with the absence of the parent.
C. A picture book about hospitals may be informative, but it might not provide the immediate comfort and distraction needed during the tantrum.
D. A set of building blocks may be more suitable for creative play but may not offer the same level of emotional comfort as a stuffed animal in the given situation.
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