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?

Collect all urine.

Contact precautions.

Do not palpate abdomen.

No venipuncture or blood pressure in left arm.

Answer and Explanation

The Correct Answer is C

A. Collecting all urine may be a part of the diagnostic process, but it is not the primary warning associated with Wilms' tumor.

B. Contact precautions are not typically required for Wilms' tumor.

C. The warning "Do not palpate abdomen" is crucial because palpation can potentially disrupt the tumor and cause hemorrhage.

D. No venipuncture or blood pressure in the left arm is not a typical precaution associated with Wilms' tumor. The emphasis is on avoiding abdominal palpation to prevent trauma to the tumor.

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Correct Answer is C

Explanation

A. Elevated temperature in a toddler with roseola is generally self-limiting and not immediately life-threatening.

B. A urine specific gravity of 1.016 in a 7-year-old with diabetes insipidus indicates a dilute urine concentration and is not an acute priority.

C. Sickle cell anemia can lead to vaso-occlusive crises, and severe chest pain could suggest a potential life-threatening complication such as acute chest syndrome. This requires immediate attention.

D. A PCO2 level of 37 mm Hg in a 4-year-old with asthma, while indicating respiratory distress, may not be as urgently life-threatening as severe chest pain in a child with sickle cell anemia.

A. Squamous cell carcinoma B. Candidiasis C. Herpes simplex D. Dermatitis

Correct Answer is B

Explanation

A. Squamous cell carcinoma is a type of cancer and typically presents as a persistent sore or ulcer, not as a white, milky plaque.

B. Candidiasis, also known as oral thrush, can occur in immunocompromised individuals, especially those on antibiotics, immunosuppressants, and corticosteroids. The white, milky plaque that does not come off with rubbing is characteristic of candidiasis.

C. Herpes simplex can cause painful oral lesions, but it usually presents as vesicles that rupture to form ulcers.

D. Dermatitis refers to inflammation of the skin and is not typically associated with white plaques in the mouth.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Correct Answer is B

Explanation

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