A child is diagnosed with Wilms' tumor. During assessment, the nurse in charge expects to detect:
Gross hematuria
Dysuria
An abdominal mass
Nausea and Vomiting
The Correct Answer is C
A. Gross hematuria: Gross hematuria refers to visible blood in the urine, which can present as pink, red, or cola-colored urine. While hematuria can be associated with various kidney conditions, including Wilms' tumor, it is not a consistent or defining symptom of this specific tumor. Additionally, because the tumor is typically confined within the kidney and does not usually invade the urinary tract, gross hematuria might not always be present.
B. Dysuria: Dysuria is the medical term for painful or difficult urination. It is not a typical symptom of Wilms' tumor, as this tumor primarily affects the kidney and may not directly affect the urinary tract in a way that causes painful urination.
C. An abdominal mass: This is the correct answer. Wilms' tumor often presents as a palpable abdominal mass, which may be felt during physical examination. The mass is usually firm, non-tender, and confined to one side of the abdomen. Detection of an abdominal mass should prompt further diagnostic evaluation to confirm the diagnosis and plan appropriate treatment.
D. Nausea and vomiting: While some children with Wilms' tumor may experience nausea and vomiting, these symptoms are nonspecific and can be caused by various conditions. They are not considered characteristic or defining features of Wilms' tumor. The presence of nausea and vomiting would prompt further assessment to determine the underlying cause
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Gelatin: Gelatin is sometimes used as a stabilizer in vaccines, including some flu vaccines. Individuals with severe gelatin allergies may need to avoid vaccines containing gelatin. However, egg allergy is more common and directly relevant to the contraindication for flu vaccination.
B. Peanuts: Peanuts are not typically used in the production of flu vaccines. Peanut allergies are not a contraindication for flu vaccination unless the person also has an egg allergy or another contraindication.
C. Eggs: Flu vaccines are commonly produced using chicken eggs. Therefore, individuals with a severe egg allergy should avoid flu vaccines, as they may experience an allergic reaction. This is especially important for young children, as they may be more prone to severe allergic reactions.
D. Bee Venom: Bee venom is not an ingredient in flu vaccines. While it's essential to consider allergies to various substances when administering vaccines, bee venom allergy does not impact the safety of flu vaccination.
Correct Answer is C
Explanation
A. "You will need to take the entire prescription of antibiotics even if your symptoms improve."
Atopic dermatitis is not typically treated with antibiotics, as it is not caused by a bacterial infection. Therefore, this statement is not relevant and would not be included in the teaching.
B. "The doctor will remove the lesions with liquid nitrogen."
Liquid nitrogen is not typically used to remove lesions associated with atopic dermatitis. Atopic dermatitis lesions are usually managed with topical treatments and other measures to reduce inflammation and itching. Therefore, this statement is not accurate and would not be included in the teaching.
C. "The doctor might recommend an antihistamine to help control your symptoms."
Antihistamines may be prescribed to help relieve itching associated with atopic dermatitis. Itching is a common symptom of atopic dermatitis, and antihistamines can help reduce this symptom. Therefore, this statement is relevant and would be included in the teaching.
D. "You can relieve your child's discomfort by applying warm compresses to the lesions."
Warm compresses can exacerbate itching associated with atopic dermatitis by increasing blood flow.
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