A nurse on an oncology unit is assessing a child who has a brain tumor. Which of the following findings should the nurse expect?
Increased appetite
Negative Babinski reflex
Tachycardia
Hyporeflexia
The Correct Answer is D
Choice A reason: Increased appetite is not a common finding in children with brain tumors. On the contrary, they may have decreased appetite, nausea, vomiting, or weight loss due to increased intracranial pressure or tumor location.
Choice B reason: Negative Babinski reflex is a normal finding in children over 2 years old and adults. It means that the toes curl downward when the sole of the foot is stimulated. A positive Babinski reflex, which means that the big toe moves upward and the other toes fan outward, is a sign of damage to the corticospinal tract, which may be caused by a brain tumor.
Choice C reason: Tachycardia, or rapid heart rate, is not a specific finding for brain tumors. It may be caused by many factors, such as fever, pain, anxiety, dehydration, or medications. However, some brain tumors may affect the autonomic nervous system, which regulates the heart rate, and cause bradycardia, or slow heart rate.
Choice D reason: Hyporeflexia, or diminished reflexes, is a possible finding in children with brain tumors. It indicates a dysfunction of the lower motor neurons, which may be affected by the tumor or the increased intracranial pressure. Hyporeflexia may manifest as weakness, numbness, or decreased muscle tone in the affected limbs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A child who has rheumatic fever is a suitable roommate for a child who has leukemia, as rheumatic fever is not a contagious condition, and it does not pose any risk of infection or cross-reaction to the child who has leukemia. Rheumatic fever is an inflammatory disease that can affect the heart, joints, skin, and brain, and it is caused by a delayed immune response to a streptococcal infection.
Choice B reason: A child recovering from a ruptured appendix is not a suitable roommate for a child who has leukemia, as a ruptured appendix can cause peritonitis, which is a serious infection of the abdominal cavity, and it can be a source of bacteria or fungi that can spread to the child who has leukemia. A child who has leukemia has a compromised immune system and is susceptible to infections.
Choice C reason: A child who has nephrotic syndrome is not a suitable roommate for a child who has leukemia, as nephrotic syndrome can cause edema, proteinuria, hypoalbuminemia, and hyperlipidemia, and it can be associated with infections, allergies, or autoimmune disorders that can affect the child who has leukemia. A child who has leukemia has a reduced number of blood cells and is prone to bleeding, anemia, and infections.
Choice D reason: A child who has cystic fibrosis is not a suitable roommate for a child who has leukemia, as cystic fibrosis is a genetic disorder that affects the lungs, pancreas, liver, and intestines, and it can cause chronic respiratory infections, malabsorption, and diabetes, which can compromise the health of the child who has leukemia. A child who has leukemia has a weakened immune system and is vulnerable to infections.
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect because administering iron at bedtime can cause gastrointestinal upset and interfere with the child's sleep. Iron should be given between meals or one hour before meals for better absorption.
Choice B reason: This statement is correct because giving iron with orange juice or other foods rich in vitamin C can enhance iron absorption. Vitamin C helps convert iron into a form that is more easily absorbed by the body.
Choice C reason: This statement is incorrect because administering iron at mealtimes can reduce iron absorption. Iron can bind with certain substances in food, such as calcium, phytates, and tannins, and make it less available for the body.
Choice D reason: This statement is incorrect because giving iron with milk can decrease iron absorption. Milk contains calcium, which can interfere with iron absorption. Milk can also cause nausea and vomiting when taken with iron.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today