Which physical assessment technique will the nurse omit when caring for a 2-year-old child diagnosed with Wilms' tumor?

Percussing ankle and knee reflexes

Assessing for bowel sounds

Performing range-of-motion exercises on low extremities

Palpating the abdomen

Answer and Explanation

The Correct Answer is D

A. Percussing ankle and knee reflexes. Safe and non-invasive, and does not risk disturbing the tumor.
B. Assessing for bowel sounds. Routine part of assessment and does not involve manipulating the tumor.
C. Performing range-of-motion exercises on lower extremities. Safe and non-invasive, unrelated to the abdominal tumor.
D. Palpating the abdomen. Palpating the abdomen in a child with Wilms' tumor is avoided to prevent the risk of tumor rupture and subsequent metastasis.

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Correct Answer is A

Explanation

A. Projectile vomiting after feedings: Projectile vomiting after feedings, especially occurring a short time after feeding, is a classic sign of pyloric stenosis due to obstruction at the pylorus.
B. Absent bowel sounds: Absent bowel sounds may occur in more advanced cases of bowel obstruction but are not specific to pyloric stenosis.
C. Increased sodium level: Increased sodium level is not typically associated with pyloric stenosis.
D. Golf ball-size mass over the left quadrant: A palpable mass in the left quadrant is not a typical finding in pyloric stenosis.

A. "Has your child had any diarrhea?" B. "Have you noticed any rashes on your child?" C. "Did your child sustain any injuries to the kidney area?" D. "Did your child recently complain of a sore throat?"

Correct Answer is D

Explanation

A. "Has your child had any diarrhea?" Diarrhea is not typically associated with glomerulonephritis.
B. "Have you noticed any rashes on your child?" Rashes are not typically associated with glomerulonephritis.
C. "Did your child sustain any injuries to the kidney area?" Direct kidney trauma is not a common cause of glomerulonephritis in children.
D. "Did your child recently complain of a sore throat?" Poststreptococcal glomerulonephritis (a common cause of acute glomerulonephritis in children) often follows a streptococcal throat or skin infection. Asking about a recent sore throat can provide important information about a possible streptococcal infection.

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Which physical assessment technique will the nurse omit when caring for a 2-year-old child diagnosed with Wilms' tumor?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?

Correct Answer is A

Explanation

The nurse is collecting data on a child recently diagnosed with glomerulonephritis. Which question to the parent would elicit information about the cause of this disease?

Correct Answer is D

Explanation

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