The parents of a child who is diagnosed with Wilm’s tumor ask the nurse why surgery is necessary before a biopsy is performed.

What information should the nurse provide?

The surgery provides a visualization of other pathology and dysfunction of the kidney.

Surgery is necessary to stage the tumor and determine metastasis to other sites.

Metal clips are surgically applied at the tumor site for exact marking for radiation.

Biopsy may rupture the encapsulated tumor and cause the cancer cells to spread.

Answer and Explanation

The Correct Answer is D

Choice A rationale
While surgery can provide a visualization of other pathology and dysfunction of the kidney, this is not the primary reason for performing surgery before a biopsy in the case of Wilms’ tumor.
Choice B rationale
Although staging the tumor and determining metastasis to other sites is an important part of the treatment process, it is not the main reason for performing surgery before a biopsy in the case of Wilms’ tumor.
Choice C rationale
While metal clips may be surgically applied at the tumor site for exact marking for radiation in some cases, this is not the primary reason for performing surgery before a biopsy in the case of Wilms’ tumor.
Choice D rationale
The main reason for performing surgery before a biopsy in the case of Wilms’ tumor is that a biopsy may rupture the encapsulated tumor and cause the cancer cells to spread.

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Correct Answer is C

Explanation

Choice A rationale
Proposing food even if the child shows no interest might not be effective. Children with autism spectrum disorder often have specific food preferences and may resist trying new foods.
Choice B rationale
While integrating play activities during meal times can make the experience more enjoyable for some children, it might be distracting for a child with autism spectrum disorder. These children often benefit from a calm, structured environment.
Choice C rationale
Establishing regular meal times can provide a sense of structure and predictability, which can be comforting for children with autism spectrum disorder. Regular meal times can also help ensure that the child is receiving adequate nutrition.
Choice D rationale
Permitting a variety of food options can be beneficial for some children, but children with autism spectrum disorder often have specific food preferences and may resist trying new foods.

A. Stool containing mucus and blood. B. An olive-sized mass in the epigastric region. C. Frequent burping accompanied by poor feeding. D. Rebound tenderness in the left lower abdominal quadrant.

Correct Answer is B

Explanation

Choice A rationale
While it’s possible for an infant with projectile vomiting to have stool containing mucus and blood, this is not typically associated with the condition that most commonly causes projectile vomiting in infants, which is pyloric stenosis.
Choice B rationale
An olive-sized mass in the epigastric region is a classic symptom of pyloric stenosis. This condition occurs when the muscle between the stomach and the small intestine (the pylorus) thickens, preventing food from moving from the stomach to the intestine.
Choice C rationale
Frequent burping and poor feeding can be symptoms of many different conditions in infants, but they are not typically associated with pyloric stenosis.
Choice D rationale
Rebound tenderness in the left lower abdominal quadrant is a symptom of conditions like appendicitis, but it is not typically associated with pyloric stenosis.

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The parents of a child who is diagnosed with Wilm’s tumor ask the nurse why surgery is necessary before a biopsy is performed. What information should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a toddler diagnosed with autism spectrum disorder and failure to thrive. What strategy should the nurse employ?

Correct Answer is C

Explanation

The nurse is caring for a 5-week-old infant who has been experiencing projectile vomiting after feedings. What additional symptom should the nurse anticipate?

Correct Answer is B

Explanation

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The parents of a child who is diagnosed with Wilm’s tumor ask the nurse why surgery is necessary before a biopsy is performed.

What information should the nurse provide?