When assessing a child with Wilm's tumor, the nurse should keep in mind that it is most important to avoid which of the following?

Measuring the child's chest circumference

Palpating the child's abdomen

Measuring the child's occipitofrontal circumference

Placing the child in an upright position

Answer and Explanation

The Correct Answer is B

A. Measuring the child's chest circumference:

Measuring the chest circumference may not directly aid in the assessment of Wilm's tumor. While it's important for assessing respiratory conditions or monitoring growth, it's not a primary assessment for Wilm's tumor, which primarily affects the abdomen.

B. Palpating the child's abdomen:

This is an essential action in assessing for Wilm's tumor. The nurse should carefully palpate the abdomen to check for any masses, swelling, or tenderness, as these could be indicative of the tumor.

C. Measuring the child's occipitofrontal circumference:

This measurement pertains to the head circumference and is not directly related to the assessment of Wilm's tumor. While it's important for monitoring head growth and development, it's not a priority when assessing for Wilm's tumor.

D. Placing the child in an upright position:

Placing the child in an upright position may be necessary for certain assessments or procedures, but it's not directly related to assessing for Wilm's tumor. The focus should primarily be on abdominal assessment and palpation to detect any signs of the tumor.

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Correct Answer is B

Explanation

A. Influenza:

The influenza vaccine is typically administered annually starting at 6 months of age. It helps protect against seasonal influenza viruses and is usually recommended during the fall or winter months.

B. Rotavirus:

The rotavirus vaccine is routinely administered to infants starting at 2 months of age, with additional doses given at 4 and 6 months of age. It helps prevent rotavirus infection, which can cause severe diarrhea and vomiting in infants and young children.

C. Measles, mumps, rubella (MMR):

The MMR vaccine is typically administered around 12-15 months of age, with a second dose given at 4-6 years of age. It helps protect against measles, mumps, and rubella, which are contagious viral infections that can cause serious complications.

D. Varicella (VAR):

The varicella vaccine, also known as the chickenpox vaccine, is usually administered around 12-15 months of age, with a second dose given at 4-6 years of age. It helps prevent chickenpox, a highly contagious viral infection characterized by a rash and fever.

A. Orange-tinged urine B. Hypertension C. Periorbital edema D. Polyuria

Correct Answer is C

Explanation

A. Orange-tinged urine

- This manifestation is not typically associated with nephrotic syndrome. Orange-tinged urine may indicate other conditions such as dehydration, liver disease, or the presence of certain medications or foods.

B. Hypertension

- Hypertension is not a common manifestation of nephrotic syndrome. However, it can occur in some cases due to the retention of sodium and water, which can lead to fluid overload and increased blood pressure.

C. Periorbital edema

- This is a classic manifestation of nephrotic syndrome. Periorbital edema, or swelling around the eyes, is often one of the initial signs observed in children with nephrotic syndrome due to the loss of protein in the urine, leading to fluid accumulation in the tissues.

D. Polyuria

- Polyuria, or increased urine output, is not typically associated with nephrotic syndrome. Instead, children with nephrotic syndrome may experience oliguria or normal urine output, depending on the severity of renal involvement and fluid balance.

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When assessing a child with Wilm's tumor, the nurse should keep in mind that it is most important to avoid which of the following?

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Naxlex Comprehensive Predictor Exams

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