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 ["C","D","E","F"]

Explanation

A. Pyloric stenosis is unrelated to TOF. It involves the narrowing of the pyloric valve in the stomach and is not a defect associated with TOF.
B. LVH is not typically a feature of TOF, as the primary issues affect the right ventricle.
C. Right ventricular hypertrophy occurs due to the obstruction of blood flow through the pulmonary valve in TOF.
D. In TOF, the aorta is positioned directly over the ventricular septal defect (VSD), which is known as overriding aorta.
E. A VSD is a key component of TOF, where there is a hole between the ventricles, allowing oxygen-poor and oxygen-rich blood to mix.
F. Pulmonary stenosis (narrowing of the pulmonary valve) is one of the hallmark defects in TOF.

A. Administering a bolus (250 ml) of Normal saline intravenous fluid B. Administering oxygen C. Administering pain medication D. Administering antipyretics

Correct Answer is C

Explanation

A. While hydration is important to help with blood flow, pain management takes precedence during an SCD crisis.
B. Oxygen may be necessary in certain cases but is not the priority in the acute pain crisis, where pain control is the primary concern.
C. Pain management is the priority in sickle cell disease (SCD) crisis, as it helps alleviate the intense pain associated with vaso-occlusive events.
D. Antipyretics are not the priority unless the child has a fever. Pain relief is more urgent during a crisis.

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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 is caring for a preschool client who has Tetralogy of Fallot (TOF). What are the defects the nurse should be aware of when caring for a client with Teratology of Fallot (TOF)? (Select all that apply).

Correct Answer is ["C","D","E","F"]

Explanation

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Correct Answer is C

Explanation

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