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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Irritability is a common behavioral manifestation of dehydration in infants and children.
B. Dehydration typically results in a rapid, weak pulse, not a slow, bounding pulse.
C. Dehydration can cause an elevated temperature rather than a decreased temperature.
D. Tetany is more associated with electrolyte imbalances such as hypocalcemia, which can occur with severe dehydration, but irritability is a more common early sign.
Correct Answer is A
Explanation
A. Obtaining a detailed history is an appropriate first step in assessing the nature of the bruises. This can help determine if the bruises are due to accidental injuries or if there are concerns for possible abuse.
B. Separating the child from the parents without further assessment may not be justified and could create unnecessary distress for the child and family.
C. Involving a psychiatrist without a clear understanding of the situation may not be the most immediate and necessary action.
D. Reporting suspected abuse to the authorities is a crucial step if abuse is suspected, but obtaining a detailed history is important to gather information for a comprehensive assessment.
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