What clinical manifestation associated with a Wilms tumor is the reason most children are initially brought in to be seen by a provider?

Severe fatigue.

Palpable mass on the abdomen.

Seizures.

Hematuria.

Answer and Explanation

The Correct Answer is B

Choice A reason: Severe fatigue is a symptom that can be associated with many conditions and is not specific to Wilms tumor.
Choice B reason: This is the correct choice. A palpable abdominal mass is often the first sign of a Wilms tumor that prompts medical evaluation.
Choice C reason: Seizures are not typically associated with Wilms tumor.
Choice D reason: Hematuria can occur with Wilms tumor, but it is not as common as the presentation of an abdominal mass.

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Correct Answer is B

Explanation

Choice A reason: While a disturbed body image can impact psychological well-being, it is not the immediate priority in the acute phase of burn management.

Choice B reason: Ineffective airway clearance due to edema from burns to the face and chest poses an immediate threat to life, requiring urgent attention to maintain breathing.

Choice C reason: The risk for infection is a significant concern due to epidermal damage; however, it follows airway management in terms of immediate priorities.

Choice D reason: Impaired urinary elimination may occur due to fluid shifts after burns, but ensuring effective airway clearance is the most critical initial step in care.

A. Discuss with the family the child's previous history of injury. B. Consult with the practitioner about what analgesia can be safely administered. C. Explain that analgesia may mask signs of a decreasing level of consciousness. D. Teach the family that adjunctives such as benzodiazepines are preferred for head injuries.

Correct Answer is B

Explanation

Choice A reason: Discussing the child's previous history of injury is important, but it does not address the immediate concern of pain management.

Choice B reason: Consulting with a practitioner to determine safe analgesia options is crucial for managing pain while also monitoring the child's variable consciousness levels.

Choice C reason: While it is true that analgesia can mask neurological symptoms, it is essential to manage pain effectively, and the healthcare team can monitor for changes in consciousness.

Choice D reason: Teaching the family about specific medications like benzodiazepines is not the most immediate concern and should be left to the practitioner's discretion based on the child's condition. Pain management and safety are the priorities.

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What clinical manifestation associated with a Wilms tumor is the reason most children are initially brought in to be seen by a provider?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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