A nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about the cancer diagnosis. Which of the following information should the nurse provide the parents about the most common malignant renal and intra-abdominal tumor of childhood?

Neuroblastoma

Ewing sarcoma

Osteosarcoma

Wilms' tumor

Answer and Explanation

The Correct Answer is D

A.   Neuroblastoma is a type of cancer that arises from immature nerve cells and commonly affects infants and young children. While it can occur in the abdomen, it is not primarily a renal tumor.
B.   Ewing sarcoma is a type of bone cancer that primarily affects children and adolescents. It typically arises in the bones of the pelvis, legs, arms, ribs, or spine. While it can involve the abdominal area if it metastasizes (spreads), it is not primarily an intra-abdominal tumor.
C.   Osteosarcoma commonly arises in the long bones of the arms and legs. While it can spread to other parts of the body, including the abdomen, it is primarily a bone tumor.
D.   Wilms' tumor, also known as nephroblastoma, is the most common malignant renal (kidney) tumor of childhood. It typically occurs in children around 2 to 5 years old and is often detected as a firm, non- tender abdominal mass.

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Correct Answer is D

Explanation

The nurse should prepare a total of 42 units in the insulin syringe, which is the sum of 14 units of regular insulin and 28 units of NPH insulin. Combining both types of insulin in one syringe is a common practice for clients who require multiple types of insulin, allowing for a single injection.

A. Red currant jelly stools B. Projectile vomiting C. Distended neck veins D. Ridged abdomen

Correct Answer is B

Explanation

Pyloric stenosis is characterized by the narrowing of the pylorus, the opening between the stomach and the small intestine. This narrowing obstructs the passage of food from the stomach to the small intestine, leading to symptoms such as projectile vomiting.
A. Red currant jelly stools are typically associated with intussusception - telescoping of one segment of the intestine into another.
C. Distended neck veins are not typically associated with pyloric stenosis. Distended neck veins may occur in conditions such as heart failure or superior vena cava obstruction.

D. Ridged abdomen: Pyloric stenosis may lead to a palpable olive-shaped mass in the right upper quadrant of the abdomen, but a ridged abdomen is not a typical finding.

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A nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about the cancer diagnosis. Which of the following information should the nurse provide the parents about the most common malignant renal and intra-abdominal tumor of childhood?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?

Correct Answer is D

Explanation

A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect?

Correct Answer is B

Explanation

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