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. Tugging or pulling at the ear is a common sign in children with otitis media and may indicate ear pain.
B. Pain when manipulating the affected earlobe is expected in otitis media due to inflammation and infection of the middle ear.
C. Erythema and edema of the affected ear are typical findings in otitis media, indicating inflammation.
D. Clear drainage is not a typical finding in otitis media. Drainage, if present, is more likely to be purulent or serosanguinous.
Correct Answer is C
Explanation
A. Staying with the child until asleep may temporarily address the fear but may not help the child develop coping skills for the future.
B. Allowing the child to sleep in the parent's bed may provide comfort but may not address the fear of monsters in the long term.
C. Keeping a night light on in the child's room can provide a sense of security and help alleviate fear by making the environment less intimidating.
D. Telling the child that monsters are not real may not be effective at this age, as young children often have difficulty distinguishing between fantasy and reality. Offering reassurance and
practical solutions like a night light may be more helpful.
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