nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about the cancer diagnosis. Which of the follow information should the nurse provide the parents about the most common malignant renal and intra-abdominal tumor of childhood?
Osteosarcoma
Wilms' tumor
Neuroblastoma
Ewing sarcoma
The Correct Answer is B
A. Osteosarcoma: This is a type of bone cancer that often occurs in teenagers and young adults, but it’s not the most common malignant renal and intra-abdominal tumor of childhood.
B. Wilms’ tumor: This is the correct answer. Wilms’ tumor, also known as nephroblastoma, is the most common malignant renal and intra-abdominal tumor of childhood. It typically occurs in children aged 3 to 4 years.
C. Neuroblastoma: This is a type of cancer that often starts in the adrenal glands, which are on top of the kidneys. It can also develop in nerve tissue along the spine, chest, abdomen, or pelvis. While it is common in infants and young children, it’s not the most common malignant renal and intra-abdominal tumor of childhood.
D. Ewing sarcoma: This is a rare type of cancer that occurs in bones or in the soft tissue around the bones. It’s more common in teenagers and young adults, and it’s not the most common malignant renal and intra-abdominal tumor of childhood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Notify the provider: This might not be necessary at this point unless the child shows other signs of dehydration or illness.
B. Perform a bladder scan at the bedside: This is typically done if there’s a concern about urinary retention, which doesn’t seem to be the case here.
C. Provide oral rehydration fluids: This might be considered if the child shows signs of dehydration, but based on the information given, it’s not clear that this is necessary.
D. Continue to monitor the client: This is the best action based on the information provided. The nurse should continue to monitor the child’s urine output, as well as other signs of hydration and overall health. If the urine output decreases further or the child shows other concerning symptoms, then the nurse might need to take further action.
Correct Answer is B
Explanation
A. Heart rate 72/min: This is within the normal range for an adolescent.
B. Blood pressure 92/50 mm Hg: This is concerning because it’s lower than the normal range for an adolescent, which could indicate shock, a serious condition that requires immediate medical attention.
C. Respiratory rate 20/min: This is within the normal range for an adolescent.
D. Abdominal pain rated 4 on a scale of 0 to 10: While any pain is concerning, a pain level of 4 is less immediately concerning than the low blood pressure. Therefore, option B is the most concerning finding.
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