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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Most schools have policies allowing children to return to school once they have been treated for head lice, even if nits are still present. Complete nit removal can be challenging, and some nits may remain after treatment.
B. Treating all family members is indeed a recommended practice to prevent the spread of head lice within the household. However, this statement alone does not encompass all aspects of managing pediculosis capitis.
C. Throwing out toys that cannot be dry cleaned or washed is unnecessary and wasteful. The focus should be on thoroughly cleaning and treating the affected person's personal items and surroundings.
D. Washing recently used clothing, bedding, and towels in hot water is an important measure to eliminate head lice and their eggs (nits) from the environment. Hot water helps kill lice and their eggs effectively. This action is a crucial part of the treatment and prevention strategy for pediculosis capitis.
Correct Answer is B
Explanation
A. Irritability is a common response in toddlers to illness or discomfort. Nephrotic syndrome is mainly painless
B. Facial edema is a characteristic symptom of nephrotic syndrome due to fluid retention and should be reported, as it may require management of the underlying condition or adjustment of treatment.
C. Poor appetite can be a symptom of nephrotic syndrome but not specific to it.
D. Yellow nasal discharge can indicate an infection such as a common cold, but not specific to nephrotic syndrome.
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