A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make?

Choice A: Urinary incontinence is a condition of involuntary loss of urine control, which can be caused by various factors, such as nerve damage, bladder dysfunction, or medication side effects. It is not always caused by neuroblastoma, which is a type of cancer that arises from immature nerve cells.

Choice B: Blood-fed is not a term that describes a neuroblastoma. Neuroblastoma is a type of cancer that arises from immature nerve cells, which can form tumors in various parts of the body, such as the adrenal glands, abdomen, chest, or spine.

Choice C: Tiny is not a term that describes a neuroblastoma. Neuroblastoma can vary in size and shape depending on the location and stage of the tumor. Some neuroblastomas can be very large and cause compression of nearby organs or structures.

Choice D: Unfortunately, much of the time, by the time a diagnosis has been made, metastasis has already occurred. This statement describes a neuroblastoma accurately. Neuroblastoma is a type of cancer that arises from immature nerve cells, which can spread rapidly to other parts of the body, such as the bones, liver, lymph nodes, or skin.
Metastasis is the process of cancer cells breaking away from the original tumor and forming new tumors elsewhere. Neuroblastoma often has no specific symptoms until it has metastasized, making it difficult to diagnose early and treat effectively.

Choice A: Reducing environmental stimuli can help decrease the discomfort and agitation of a child who has meningitis, as they may experience headache, photophobia, and neck stiffness. However, this action is not the priority, as it does not address the cause of the infection or prevent complications.

Choice B: Documenting intake and output can help monitor the fluid balance and hydration status of a child who has meningitis, as they may have fever, vomiting, and decreased oral intake. However, this action is not the priority, as it does not address the cause of the infection or prevent complications.

Choice C: Administering antibiotics when available can help treat the bacterial infection that causes meningitis and prevent serious complications such as brain damage, hearing loss, or death. This action is the priority, as it can save the child's life and improve their outcome.

Choice D: Maintaining seizure precautions can help protect the child from injury and provide safety measures in case of a seizure, as meningitis can cause increased intracranial pressure and seizures. However, this action is not the priority, as it does not address the cause of the infection or prevent complications.