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. A 1-year-old toddler who has roseola and a temperature of 39° C (102.2° F) B. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016 C. A 10-year-old child who has sickle cell anemia who reports severe chest pain D. A 4-year-old child who has asthma and a PCO2 of 37 mm Hg

Correct Answer is C

Explanation

A. Elevated temperature in a toddler with roseola is generally self-limiting and not immediately life-threatening.

B. A urine specific gravity of 1.016 in a 7-year-old with diabetes insipidus indicates a dilute urine concentration and is not an acute priority.

C. Sickle cell anemia can lead to vaso-occlusive crises, and severe chest pain could suggest a potential life-threatening complication such as acute chest syndrome. This requires immediate attention.

D. A PCO2 level of 37 mm Hg in a 4-year-old with asthma, while indicating respiratory distress, may not be as urgently life-threatening as severe chest pain in a child with sickle cell anemia.

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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

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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