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 A

Explanation

A. Nurses are mandated reporters of child abuse, and informing the parent about the legal obligation to report is appropriate and transparent.

B. Reporting to a supervisor does not relieve the nurse of the responsibility to directly report suspected child abuse to the appropriate authorities.

C. While the nurse should be empathetic, the legal obligation to report takes precedence over discussing details with the parent.

D. In situations of suspected child abuse, it is the responsibility of the nurse, not the provider, to make the initial report.

A. "My child often cheats when we play board games." B. "Sometimes my child acts bossy with his friends." C. "The teacher says my child has to squint to see the board." D. "My child has recently lost both front top teeth."

Correct Answer is C

Explanation

A. Children may display cheating behavior in board games as part of normal development and competitive play.

B. Acting bossy with friends is a common behavior in some children and is not necessarily a cause for concern.

C. Squinting to see the board may indicate a vision problem, and it is important for the child to have an eye examination to address potential visual impairments.

D. Losing front top teeth is a normal part of the developmental process as primary teeth are replaced by permanent teeth.

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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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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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