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. Threatening the child with a shot may create anxiety and fear, making cooperation even more challenging.

B. Hiding medication in food without the child's knowledge can lead to mistrust and may not be safe, as the child may not consume the entire dose.

C. Telling the child that the medication is candy is a strategy that may increase the likelihood of the child taking the medication willingly. However, it is important to ensure that the child understands the importance of taking the medication and that it is not actually candy.

D. Offering a choice of taking the medication with juice or water provides some control to the child, but it may not address the resistance to taking the medication itself. The child may still refuse regardless of the choice.

A. Measure head circumference every shift B. Admit the client to a private room C. Place the client in a semi-Fowler's position D. Implement seizure precautions

Correct Answer is A

Explanation

A. While monitoring for increased intracranial pressure is important, measuring head circumference every shift may not be necessary unless there is a specific indication or change in the child's condition.

B. Admitting the child to a private room is necessary to reduce the risk of spreading the infection to others.

C. Placing the child in a semi-Fowler's position can help reduce intracranial pressure and promote comfort.

D. Implementing seizure precautions is important, as children with bacterial meningitis are at risk for seizures.

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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

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