For a child diagnosed with a Wilm's tumor. The nurse recognizes that which of the following is MOST important intervention when planning care for this child?

Avoiding further palpation of the abdomen

Obtaining an accurate height and weight

Monitoring vital signs

Assessing the urine for the presence of blood

Answer and Explanation

The Correct Answer is A

A. Avoiding further palpation of the abdomen is crucial to prevent rupture of the tumor and potential spread of cancer cells.
B. Obtaining an accurate height and weight is important but not as critical as preventing tumor rupture.
C. Monitoring vital signs is essential but not the priority intervention in this context.
D. Assessing the urine for the presence of blood is important for overall assessment but not the most critical intervention compared to avoiding tumor rupture.

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Correct Answer is B

Explanation

A. While providing assistance with activities of daily living is important, ensuring the child's environment is safe is a higher priority to prevent injuries.
B. Modifying the home for safety is the priority because children with hemiplegic cerebral palsy have motor impairments that increase their risk for accidents and injuries. A safe environment is essential for the child’s well-being.
C. Providing respite services for the parents is beneficial for the family’s overall stress management, but it is not as immediate a concern as ensuring the child’s safety.
D. Improving communication skills is important for the child's overall development, but ensuring a safe living environment takes precedence to prevent potential harm.

A. "Baseball cannot be adapted and it is best if he does not participate." B. "Could you try enrolling him in a music or arts based activity?" C. "Would you like to talk about your decision and discuss alternatives?" D. “That was a good choice. I'm sure he is upset that he cannot play baseball anymore.”

Correct Answer is C

Explanation

A. This response is not supportive and does not consider adaptive sports opportunities that may be available.
B. Suggesting a different activity might be helpful, but it does not address the parents' feelings or provide support for their decision.
C. Asking to discuss their decision and explore alternatives is the best response as it opens a dialogue, provides support, and helps the parents consider other options for their child's participation in activities.
D. This response does not support the parents' emotional needs or explore other possibilities for the child to stay active.

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For a child diagnosed with a Wilm's tumor. The nurse recognizes that which of the following is MOST important intervention when planning care for this child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is doing the first intake visit for a child who has hemiplegic cerebral palsy. When developing a plan of care for this child, which of the following goals is the priority for the nurse to include in the plan of care?

Correct Answer is B

Explanation

A nurse is speaking with the parents of a 4-year-old boy who has a cerebral palsy. The parents tell the nurse they have taken their son's name off the list for baseball next season. Which of the following is the BEST response for the nurse to make?

Correct Answer is C

Explanation

The nurse is providing anticipatory guidance teaching to the parents of a newborn infant geared toward reducing child abuse. Which of the following would be the priority topic of discussion to meet this goal?

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