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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Related Questions
Correct Answer is D
Explanation
Celiac disease is an autoimmune disorder characterized by an intolerance to gluten, a protein found in wheat, barley, rye, and their derivatives. Therefore, the appropriate food choices for a child with celiac disease are those that are gluten-free.
A. Ric (presumably referring to rice) - Rice is gluten-free and is an appropriate choice for individuals with celiac disease.
B. Wheat - Wheat contains gluten and should be avoided by individuals with celiac disease.
C. Barkey (presumably referring to barley) - Barley contains gluten and should be avoided by individuals with celiac disease.
D. PRIOHOUS - serves as a mnemonic to remember gluten-free food choices (e.g., potatoes, rice, oats, corn, fruits, vegetables, meat, fish, poultry, eggs, dairy products). These foods are typically safe for individuals with celiac disease.
Correct Answer is A
Explanation
Wilms' tumor, also known as nephroblastoma, is a type of kidney cancer that primarily affects children, typically between the ages of 3 and 4 years old, but it can also occur in younger children. One of the common manifestations of Wilms' tumor is the presence of a palpable abdominal mass, which may be noticed by a caregiver or healthcare provider during a physical examination. Additionally, hematuria (blood in the urine) is another common symptom associated with Wilms' tumor, leading to the observation of pink-tinged urine on the diaper.
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