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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I expect the color of my urine to be amber." Ferrous sulfate does not typically affect the color of urine. This statement indicates a misunderstanding of the medication's effects.
B. "I will expect dark, tarry stools." Ferrous sulfate can cause stools to become dark or black, which is a common and expected side effect due to the iron content. This indicates the client understands a normal side effect of the medication.
C. "I will not get as many infections." Ferrous sulfate is used to treat iron deficiency anemia and does not directly influence the incidence of infections. This indicates a lack of understanding of the medication’s purpose.
D. "I will take extra care to protect against increased bruising." Increased bruising is not associated with ferrous sulfate. This indicates a misunderstanding of the medication's side effects.
Correct Answer is "{\"xRanges\":[31.782945736434108,39.53488372093023],\"yRanges\":[54.36507936507937,58.33333333333333]}"
Explanation
Draw an imaginary line connecting the ASIS to the umbilicus.
McBurney's point is located one-third of the distance along this line, starting from the ASIS and moving towards the umbilicus.
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