A child has been admitted to the pediatric unit. Her absolute neutrophil count is 225 and the child has been placed in neutropenic isolation. Which action by a nurse indicates that the nurse requires further education? (Select all that apply)

The nurse monitors the child's vital signs every 2 to 4 hours

The nurse carefully washes his/her hands before and after providing care

The child has been placed in a semi-private room

The nurse assesses the child for clinical signs of an infection

Answer and Explanation

The Correct Answer is C

A. The nurse monitors the child's vital signs every 2 to 4 hours is appropriate. Regular monitoring of vital signs is important in children with neutropenia to detect early signs of infection or sepsis.

B. The nurse carefully washes his/her hands before and after providing care is appropriate. Hand hygiene is critical in preventing the transmission of infection, especially in neutropenic patients who are at high risk of infections.

C. The child has been placed in a semi-private room requires further education. A child with a neutrophil count of 225 is at significant risk of infection, and placing the child in a semi-private room increases the risk of exposure to pathogens. The child should be placed in a private room to minimize exposure to infectious agents.

D. The nurse assesses the child for clinical signs of an infection is appropriate. Vigilant monitoring for infection is essential in neutropenic patients, as they are more susceptible to infections.

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Correct Answer is B

Explanation

A. The tumor is located in the lower back of the brain in the midline posterior fossa is incorrect. This description is more characteristic of a cerebellar or brainstem tumor, not neuroblastoma.

B. The tumor originated in the adrenal glands is correct. Neuroblastoma typically arises from the adrenal glands, though it can also develop in nerve tissue along the spine, neck, chest, or pelvis.

C. The tumor has not spread to other areas of the child's body is incorrect. Neuroblastoma often metastasizes to other parts of the body, such as the bones, lymph nodes, liver, and skin.

D. The tumor came from malformation of astrocyte glial brain cells is incorrect. This describes gliomas, which are a different category of brain tumors, not neuroblastoma.

A. No venipuncture or blood pressure in left arm B. Do not palpate abdomen. C. Collect all urine. D. Contact precautions

Correct Answer is B

Explanation

A. No venipuncture or blood pressure in left arm is incorrect. This is not a standard warning for a child with Wilms' tumor. The concern for venipuncture or blood pressure typically involves conditions like a dialysis access or a limb at risk, but it is not specific to Wilms' tumor.

B. Do not palpate abdomen is correct. Wilms' tumor, a type of kidney cancer, can be palpated in the abdomen. However, palpating the tumor may increase the risk of spreading cancerous cells or causing trauma to the tumor site, so it is crucial to avoid palpation.

C. Collect all urine is incorrect. While urine collection may be necessary for diagnostic testing, it is not a specific warning related to Wilms' tumor. This would be standard for other renal conditions but not directly related to Wilms' tumor.

D. Contact precautions is incorrect. While contact precautions may be required for infections, Wilms' tumor itself does not require contact precautions unless there is an associated infection.

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A child has been admitted to the pediatric unit. Her absolute neutrophil count is 225 and the child has been placed in neutropenic isolation. Which action by a nurse indicates that the nurse requires further education? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has been diagnosed with malignant neuroblastoma. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?

Correct Answer is B

Explanation

A nurse is caring for a child who has increasing manifestations of fever, headache, stiff neck, and rash. Which of the following diagnostic tests should the nurse expect the health care provider to order?

A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?

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