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?

Do not palpate abdomen.

No venipuncture or blood pressure in left arm

Contact precautions

Collect all urine.

Answer and Explanation

The Correct Answer is A

When assesssing the child with suspected or confirmed Wilm's tumor, it is important to avoid palpation of the abdomem. This is because it can lead to dislodging of the tumor cells

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Correct Answer is B

Explanation

A. Thick yellow crusted lesion on a red base are characteristic of impetigo.

B. Pediculosis capitis (head lice infestation) presents with itching and scratching of the head due to the allergic reaction to the saliva of the lice. While other conditions may present with similar symptoms, itching and scratching are classic signs of head lice infestation.

C. Firmly attached white particles on the hair are indicative of nits (lice eggs).

D. Patchy areas of hair loss may be seen in conditions like alopecia areata or fungal infections but are not specific to pediculosis capitis.

A. Tugging on the affected ear lobe B. Pain when manipulating the affected ear lobe C. Erythema and edema of the affected ear D. Clear drainage from the affected ear

Correct Answer is C

Explanation

A. This is a common symptom but bot a sign in children with otitis media. They may tug or pull at their ears due to discomfort or pain caused by the infection.
B. Manipulating the ear lobe can cause pain in children with otitis media because the infection often leads to inflammation and sensitivity in the ear area. This is, however, a symptom.
C. Erythema and edema are typical signs of inflammation, which can occur in the ear with otitis media.
D. While otitis media can cause some fluid buildup in the middle ear, clear drainage is not a common finding and may suggest another condition such as ear canal infection (otitis externa) or a perforated eardrum. Otitis media typically involves more purulent (pus-like) or cloudy fluid due to the infection.

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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?

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Naxlex Comprehensive Predictor Exams

A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition?

Correct Answer is B

Explanation

A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

Correct Answer is C

Explanation

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