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 C
Explanation
A. Psoriasis can be associated with discomfort, but it is not typically characterized by intense pain. The primary symptoms are related to skin changes rather than pain.
B. Psoriasis usually presents with bilateral lesions that are symmetrical in distribution. Unilateral lesions are less common in psoriasis.
C. Silvery, white scales. This is a hallmark sign of psoriasis. Clients often have patches of thick, red skin with these distinctive silvery scales.
D. Psoriasis does not typically cause serous drainage. It is a dry skin condition that leads to scaling and flaking rather than wet or serous discharge
Correct Answer is A
Explanation
The practice as it helps prevent the backflow of stomach contents into the esophagus, which is beneficial for infants with gastroesophageal reflux.
B. This statement does not necessarily indicate an understanding of the teaching. Breast milk or formula can be used for infants with reflux; however, some formulas are designed to be easier to digest or less likely to cause reflux.
C. This is not generally recommended for infants with reflux. The safest position for all infants, including those with reflux, is on their back to reduce the risk of sudden infant death syndrome (SIDS).
D. This may be recommended in some cases to help reduce the symptoms of reflux. However, it's important to do this under the guidance of a healthcare provider to ensure it's done safely and appropriately. Thickening formula should be done with caution as it can increase the risk of choking.
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