A 3-year-old child is admitted with a Stage II Wilm's tumor. Which preoperative intervention(s) should the nurse implement? Choose all that apply.
Explain expected side effects of postoperative chemotherapy.
Monitor blood pressure every 2 hours for hypertension.
Provide parents with simple explanations and repeat often.
Attend all healthcare provider and parent conferences.
Measure the child's abdominal girth.
Correct Answer : B,C,E
A. Explain expected side effects of postoperative chemotherapy: Chemotherapy and its side effects are typically discussed after surgery when the treatment plan is clearer. The focus before surgery should be on preparing the child and family for the surgery itself.
B. Monitor blood pressure every 2 hours for hypertension: Wilm's tumor can be associated with hypertension due to renin production from the tumor, so monitoring the child's blood pressure closely is essential to detect any signs of hypertension early.
C. Provide parents with simple explanations and repeat often: Simplified, repeated explanations are key to helping parents understand the diagnosis and surgical procedure. This approach supports emotional comfort and ensures informed decision-making.
D. Attend all healthcare provider and parent conferences: While it is important to support the family, the nurse’s role in attending all healthcare provider and parent conferences is not mandatory unless specifically needed for continuity of care.
E. Measure the child's abdominal girth: Measuring abdominal girth is essential preoperatively to monitor for any abdominal changes, such as swelling or distension, which could indicate tumor growth or other complications related to the Wilm's tumor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.6"]
Explanation
Rationale:
- Convert the client's weight from pounds (lb) to kilograms (kg).
Weight in kg = 154 lb / 2.2 lb/kg
= 70 kg.
- Calculate the total desired dose in units.
Desired dose (units) = Desired dose (units/kg) × Weight (kg)
= 200 units/kg × 70 kg
= 14000 units.
Available concentration of the medication = 25,000 units/mL.
- Calculate the volume in milliliters (mL) to administer.
Volume (mL) = Desired dose (units) / Available concentration (units/mL)
= 14000 units / 25000 units/mL
= 0.56 mL.
- Round the answer to the nearest tenth.
= 0.6.
Correct Answer is ["A","B","D"]
Explanation
A. Pain scale: Pain is a key symptom of Herpes zoster (shingles), and the effectiveness of treatment is often measured by the relief of pain. The nurse should assess the pain level regularly using a pain scale to evaluate the effectiveness of pain management interventions.
B. Skin integrity: Herpes zoster causes a rash and blisters, and monitoring skin integrity is important to assess for signs of infection, healing, or any new areas of skin breakdown. The healing of the rash and blisters is a key indicator of treatment effectiveness.
C. Bowel sounds: Bowel sounds are not related to the treatment or condition of Herpes zoster. While important in other contexts, they are not a relevant assessment for evaluating the effectiveness of shingles treatment.
D. Functional ability: Functional ability, including the client’s ability to perform activities of daily living, can be impacted by the pain and discomfort associated with shingles. Assessing functional ability helps to gauge the overall impact of the condition and the effectiveness of treatment in improving quality of life.
E. Heart sounds: Heart sounds are not directly related to the treatment of Herpes zoster. This assessment is not necessary for evaluating the effectiveness of shingles treatment unless there are unrelated cardiovascular concerns.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
