A nurse is assessing a 1-year-old toddler notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?
Wilms' tumor
Intussusception
Nephritic syndrome
Pyloric stenosis
The Correct Answer is A
A Wilms' tumor is a common kidney cancer that primarily affects children. One of the classic signs of this tumor is the presence of a large abdominal mass, which may be palpable upon physical examination and hematuria (pink-tinged urine).
B. Intussusception is a condition where a part of the intestine folds into another section, causing an obstruction. The symptoms can include episodes of severe abdominal pain, vomiting, bloody stools, and lethargy.
C. Nephritic syndrome is a renal condition characterized by inflammation. The symptoms often include hematuria, hypertension, and oliguria.
D. Pyloric stenosis is a condition where the distal opening of the stomach is obstructed due to smooth muscle hypertrophy. It presents with projectile vomiting after feeding, dehydration, and weight loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Pediculosis capitis, commonly known as head lice, is characterized by the presence of live lice and nits (lice eggs) attached to the hair shaft close to the scalp. They do not typically cause a rash on the back of the neck.
B. Impetigo is a bacterial skin infection characterized by red sores or blisters that rupture and form honey-colored crusts. It commonly affects areas of the body with broken skin, such as the face, hands, and arms.
C. Folliculitis is inflammation or infection of the hair follicles caused by bacteria or fungi. It can result in red, swollen, and pus-filled bumps around hair follicles.
D. Tinea capitis is a fungal infection of the scalp and hair follicles. It is characterized by the presence of white or grayish flakes that adhere to the hair shafts and cannot be easily brushed off, along with a rash or scaly patch on the scalp. The rash may extend to the back of the neck.
Correct Answer is B
Explanation
A. Applying pressure to the bleeding site helps control minor bleeding episodes in individuals with hemophilia by promoting clot formation and reducing blood flow.
B. Applying heat to a bleeding site is not recommended for individuals with hemophilia. Heat can dilate blood vessels, increasing blood flow and potentially worsening the bleeding.
C. Elevating the affected part above the level of the heart can help reduce blood flow to the area and minimize swelling.
D. Rest is important during a bleeding episode to minimize movement and reduce the risk of further injury or bleeding.
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