A nurse is caring for a child who has been diagnosed with malignant neuroblastoma. Which of the following findings should the nurse expect?
The tumor is located in the lower back of the brain in the midline posterior fossa.
The tumor originated in the adrenal glands.
The tumor has not spread to other areas of the child's body.
The tumor came from malformation of astrocyte glial brain cells.
The Correct Answer is B
A. The tumor is located in the lower back of the brain in the midline posterior fossa is incorrect. This description is more characteristic of a cerebellar or brainstem tumor, not neuroblastoma.
B. The tumor originated in the adrenal glands is correct. Neuroblastoma typically arises from the adrenal glands, though it can also develop in nerve tissue along the spine, neck, chest, or pelvis.
C. The tumor has not spread to other areas of the child's body is incorrect. Neuroblastoma often metastasizes to other parts of the body, such as the bones, lymph nodes, liver, and skin.
D. The tumor came from malformation of astrocyte glial brain cells is incorrect. This describes gliomas, which are a different category of brain tumors, not neuroblastoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. No venipuncture or blood pressure in left arm is incorrect. This instruction is often associated with patients who have a shunt, a limb with an established intravenous line, or another condition, but it is not specific to Wilms' tumor.
B. Do not palpate abdomen is correct. Wilms' tumor is a type of kidney cancer in children, and the tumor is often palpable in the abdomen. Palpating the abdomen could cause the tumor to rupture, leading to the spread of cancerous cells. To avoid this risk, the abdomen should not be palpated.
C. Collect all urine is incorrect. While urine collection might be necessary for monitoring renal function or assessing signs of metastasis, it is not a standard precaution or warning for a child with Wilms' tumor.
D. Contact precautions is incorrect. Wilms' tumor is not contagious, so contact precautions are not required unless there is a coexisting infectious condition.
Correct Answer is C
Explanation
A. Consuming a diet high in iron-rich foods, such as lean meats, beans, and leafy vegetables, can help prevent iron deficiency anemia.
B. Regular consumption of fortified cereals provides essential nutrients, including iron, which can help prevent anemia.
C. This is the correct answer. Excessive intake of cow's milk can be a risk factor for iron deficiency anemia in toddlers because cow's milk is low in iron and can interfere with iron absorption. Additionally, consuming large amounts of cow's milk can cause gastrointestinal blood loss, further contributing to iron deficiency.
D. While participating in physical activities is important for a toddler's growth and development, it does not directly relate to an increased risk for iron deficiency anemia.
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