A nurse is admitting a child with a suspected diagnosis of Wilm's tumor. The nurse should place a sign with which of the following warnings about this child?

No venipuncture or blood pressure in either arm.

Avoid administering nephrotoxic medications.

Collect all urine.

Strict fluid restrictions.

Answer and Explanation

The Correct Answer is A

A.   Wilms' tumor is a kidney tumor, and the child should not have blood pressure measured or venipuncture done on the affected side to avoid any potential injury to the kidney.
B.   This is important in care but is not the primary immediate precaution. The main focus is to avoid injury to the affected kidney.
C.   While urine collection is important for monitoring kidney function, it is not a warning sign for Wilms' tumor.
D.   This may be necessary later in the treatment but is not a primary concern for the initial care of a child with Wilms' tumor.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

A. Digitalis toxicity can occur in children receiving digoxin, especially if there are electrolyte imbalances or if the dose is too high. Symptoms of toxicity include nausea, vomiting, and arrhythmias.

C. Hypokalemia is a common side effect of diuretics like furosemide. Low potassium levels increase the risk of digoxin toxicity, which is critical to monitor in this child’s care.

A. Negative Prehn's sign B. Rebound abdominal tenderness C. Kernigs sign D. A round smooth non tender mass in the scrotum. E. None F. None

Correct Answer is A

Explanation

A. A negative Prehn's sign (where lifting the scrotum does not relieve pain) is a key sign of testicular torsion, indicating that the blood flow to the testicle is compromised.
B. Rebound abdominal tenderness suggests peritoneal irritation, not specifically testicular torsion.
C. Kernig's sign is a sign of meningitis, not related to testicular torsion.
D. A round, smooth, non-tender mass in the scrotum is more consistent with a hydrocele or hernia, not testicular torsion.

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A nurse is admitting a child with a suspected diagnosis of Wilm's tumor. The nurse should place a sign with which of the following warnings about this child?

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Naxlex Comprehensive Predictor Exams

A nurse on a cardiac care unit is caring for a preschooler Exhibits select words from the choices below to fill in each blank in the following The client is at risk for developing dropdown and dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

7-year-old male with sudden scrotal pain reports to the Emergency department with his parent. Exhibits A Nurse is caring for a 7-year-old child with sudden onset of testicular pain. The nurse is aware that the pain may be a testicular torsion and assesses for what?

Correct Answer is A

Explanation

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