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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?

A.

Do not palpate abdomen

B.

Contact precautions

C.

Collect all urine

D.

No venipuncture or blood pressure in left arm

Answer and Explanation

The Correct Answer is A

A. Do not palpate abdomen: Wilms tumor, also known as nephroblastoma, is a type of kidney cancer that primarily affects children. Palpation of the abdomen in a child with Wilms tumor can potentially rupture the tumor capsule and lead to dissemination of cancer cells or cause bleeding. Therefore, it is essential to instruct healthcare providers and caregivers not to palpate the child's abdomen to avoid complications.
B. Contact precautions: Contact precautions are not typically indicated for Wilms tumor. Contact precautions are implemented to prevent the transmission of infectious agents that are spread by direct or indirect contact with the client or their environment. Wilms tumor is not contagious and does not require contact precautions.
C. Collect all urine: While collecting urine may be necessary for diagnostic purposes and monitoring kidney function in a child with Wilms tumor, it is not the primary warning associated with the condition. The priority warning for Wilms tumor focuses on avoiding palpation of the abdomen to prevent potential complications.
D. No venipuncture or blood pressure in left arm: While venipuncture or blood pressure measurement in the left arm may be contraindicated in some situations, such as when a client has a central venous catheter or arteriovenous fistula, it is not specifically associated with Wilms tumor. The primary concern with Wilms tumor is to avoid palpation of the abdomen due to the risk of tumor rupture and dissemination of cancer cells.
 


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Related Questions

Correct Answer is ["5.6"]

Explanation

Let's calculate the amount of amoxicillin suspension the nurse should administer.

Steps:

  1. Convert toddler's weight to kilograms (kg):
    • Weight (kg) = Weight (lb) / 2.2 lb/kg
    • Weight (kg) = 33 lb / 2.2 lb/kg
    • Weight (kg) ≈ 15 kg
  2. Calculate total daily dose of amoxicillin:
    • Total dose (mg/day) = Dose per kg/day x Weight (kg)
    • Total dose (mg/day) = 30 mg/kg/day x 15 kg
    • Total dose (mg/day) = 450 mg/day
  3. Calculate amoxicillin needed per dose (since it's given every 12 hours, we need half the daily dose):
    • Dose per administration (mg) = Total daily dose (mg/day) / Number of doses/day
    • Dose per administration (mg) = 450 mg/day / 2 doses/day
    • Dose per administration (mg) = 225 mg
  4. Calculate the volume (mL) of suspension based on the concentration:
    • Concentration (mg/mL) = Amount of amoxicillin (mg) / Volume (mL)
    • We need to rearrange the formula to find the volume (mL): Volume (mL) = Amount of amoxicillin (mg) / Concentration (mg/mL)
    • Known values:
      • Amount of amoxicillin (mg) = 225 mg (calculated in step 3)
      • Concentration (mg/mL) = 200 mg/5 mL (from available suspension)
    • Volume (mL) = 225 mg / (200 mg/5 mL)
    • To simplify the calculation, divide both numerator and denominator by 25: Volume (mL) = (225 mg / 25) / (200 mg/5 mL / 25) Volume (mL) = 9 mL / 4 mL/mL. Pay attention here, dividing by mL/mL is the same as multiplying by 1)
    • Volume (mL) = 9 mL
  5. Round the answer to the nearest tenth:
    • Volume (mL) ≈ 5.6 mL

Therefore, the nurse should administer approximately 5.6 mL of amoxicillin suspension per dose.

Correct Answer is C

Explanation

To determine the total number of units of insulin to prepare in the insulin syringe, add together the prescribed doses of regular insulin and NPH insulin.

Regular insulin: 14 units NPH insulin: 28 units

Total: 14 units (regular insulin) + 28 units (NPH insulin) = 42 units

Therefore, the nurse should prepare a total of 42 units of insulin in the insulin syringe: 14 units of regular insulin and 28 units of NPH insulin

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