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A nurse is caring for a 4-year-old pediatric client who has an inguinal hernia. Which of the following statements should the nurse make when the parents ask for clarification about the inguinal hernia?

An inguinal hernia occurs when digestive fluids leak from the bowel, causing swelling that results in a bulge in the groin.

An inguinal hernia occurs when a viral infection weakens the intestine, allowing the bowel to herniate into the groin.

An inguinal hernia occurs when a part of the bowel or fatty tissue slips through a weak spot in the abdominal cavity near the groin.

An inguinal hernia occurs when an accumulation of excess gas in the abdominal cavity results in a bulge in the groin.

Answer and Explanation

The Correct Answer is C

A. An inguinal hernia occurs when digestive fluids leak from the bowel, causing swelling that results in a bulge in the groin is incorrect. An inguinal hernia involves a protrusion of bowel or fatty tissue through a weakness in the abdominal wall, not digestive fluids leaking from the bowel.

B. An inguinal hernia occurs when a viral infection weakens the intestine, allowing the bowel to herniate into the groin is incorrect. Inguinal hernias are congenital or result from increased intra-abdominal pressure, not caused by viral infections.

C. An inguinal hernia occurs when a part of the bowel or fatty tissue slips through a weak spot in the abdominal cavity near the groin is correct. Inguinal hernias occur when tissue, usually part of the intestine or fatty tissue, pushes through a weak area in the abdominal wall near the groin. This condition is common in infants and children.

D. An inguinal hernia occurs when an accumulation of excess gas in the abdominal cavity results in a bulge in the groin is incorrect. While excess gas can cause bloating or discomfort, it is not responsible for the development of an inguinal hernia. The bulge is caused by the protrusion of tissue through a weakness in the abdominal wall.

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Correct Answer is D

Explanation

A. Age of the child is important in determining the approach to treatment and potential outcomes, but the priority in planning treatment is addressing the extent of the disease, particularly whether it has spread. Age may influence treatment choices but is secondary to assessing metastasis.

B. Range of motion in the affected area is important in managing functional outcomes, especially for tumors that affect muscles or joints, but the highest priority when planning care is understanding the extent of the disease, specifically metastasis, before focusing on rehabilitation.

C. Health complications from the tumor are significant for symptom management and treatment planning, but the critical first step in treatment is determining the stage of the cancer and whether the tumor has spread. This information guides treatment decisions.

D. Whether or not the tumor has metastasized is the highest priority. The spread of the tumor (metastasis) directly impacts the treatment plan and prognosis, influencing decisions such as the need for systemic therapies (chemotherapy) in addition to local treatments like surgery or radiation.

A. Ribs B. Upper leg C. Head D. Spine

Correct Answer is B

Explanation

A. Ribs are not a typical location for rhabdomyosarcoma, which primarily affects soft tissue. While it can occur in any area of the body, tumors most commonly develop in the muscles, such as in the upper leg.

B. Upper leg is the most common site of rhabdomyosarcoma in children. This cancer originates in the soft tissues, particularly skeletal muscles.

C. Head is a less common site for rhabdomyosarcoma, although it can occur in the head or neck region. However, the upper leg is more frequently affected.

D. Spine is not a typical location for rhabdomyosarcoma. While other sarcomas can affect bones and tissues of the spine, rhabdomyosarcoma generally affects soft tissues like muscles and tendons.

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A nurse is caring for a 4-year-old pediatric client who has an inguinal hernia. Which of the following statements should the nurse make when the parents ask for clarification about the inguinal hernia?

Nursing Test Bank

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A nurse is creating a plan of care for a pediatric client who has been diagnosed with rhabdomyosarcoma. Which of the following factors should the nurse consider as the highest priority when planning treatment interventions?

Correct Answer is D

Explanation

A nurse is assessing a pediatric client who is exhibiting manifestations of rhabdomyosarcoma. In which area of the body should the nurse expect to find a tumor?

Correct Answer is B

Explanation

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