A nurse is caring for a toddler whose parent states while bathing the child she noticed a mass in his abdominal area and that his urine is a pink color. Which of the following actions is the nurse's priority?
Determine if the child is having pain.
Obtain a urine specimen for a urinalysis.
Instruct the parent to avoid pressing on the abdominal area.
Schedule the child for an abdominal ultrasound.
The Correct Answer is C
A. While assessing for pain is important, it is not the priority in this situation. The presence of pink- colored urine and a palpable mass in the abdominal area are more concerning findings that warrant immediate investigation.
B. Obtaining a urine specimen for analysis is important for diagnosing the cause of the hematuria (blood in the urine), which is a common symptom of Wilms tumor. However, this is not the immediate priority compared to preventing potential harm to the child by avoiding pressure on the abdominal area.
C. Instructing the parent to avoid pressing on the abdominal area is the priority action. Wilms tumor can rupture with pressure, which can lead to the spread of cancer cells. It is crucial to minimize handling of the tumor to prevent tumor spillage into the abdominal cavity.
D. The decision to schedule additional diagnostic tests, such as an abdominal ultrasound, can be made based on the results of the urinalysis and further clinical assessment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Neural tube defects (NTDs) are congenital abnormalities that occur during early embryonic development when the neural tube fails to close completely. Spina bifida is one type of neural tube defect where the spinal column doesn't close all the way, resulting in spinal cord and nerve damage. It can lead to various complications, including paralysis, bladder and bowel problems, and learning difficulties. Therefore, it is an appropriate example of a neural tube defect.
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B. Cerebral palsy is a group of permanent movement disorders that appear in early childhood.
C. Muscular dystrophy is a genetic disorder characterized by progressive weakness and loss of muscle mass.
D. Hydrocephalus is a condition where there's an accumulation of cerebrospinal fluid in the brain, often due to obstruction or impaired drainage.
Correct Answer is A
Explanation
A. Monitoring the child's blood count is essential to assess the effectiveness of the iron supplements and ensure the child's anemia is being treated properly.
B. Dietary fiber does not enhance iron absorption; in fact, high levels of fiber can inhibit the absorption of iron. It is generally recommended to maintain a balanced diet while taking iron supplements.
C. Iron supplements are best absorbed on an empty stomach. However, if they cause stomach upset, they may be taken with a small amount of food or as directed by a healthcare provider.
D. Iron supplements should be administered in divided doses throughout the day to enhance absorption and minimize gastrointestinal side effects.
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