A nurse is assessing a 1-year-old toddler notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?
Wilms' tumor
Intussusception
Nephritic syndrome
Pyloric stenosis
The Correct Answer is A
A Wilms' tumor is a common kidney cancer that primarily affects children. One of the classic signs of this tumor is the presence of a large abdominal mass, which may be palpable upon physical examination and hematuria (pink-tinged urine).
B. Intussusception is a condition where a part of the intestine folds into another section, causing an obstruction. The symptoms can include episodes of severe abdominal pain, vomiting, bloody stools, and lethargy.
C. Nephritic syndrome is a renal condition characterized by inflammation. The symptoms often include hematuria, hypertension, and oliguria.
D. Pyloric stenosis is a condition where the distal opening of the stomach is obstructed due to smooth muscle hypertrophy. It presents with projectile vomiting after feeding, dehydration, and weight loss.
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Related Questions
Correct Answer is B
Explanation
A. Coughing indicates a normal protective mechanism when the toddler is attempting to dislodge and cough out the food.
B. Inability to speak is a significant sign of choking and indicates that the airway is nearly completely obstructed.
C. Gagging shows that the toddler is partially obstructed and still attempting to dislodge the food
D. Pulse of 100 Beats per minute is not a direct indicator of choking.
Correct Answer is D
Explanation
A. Ibuprofen is not associated with Reye syndrome. It is a non-steroidal anti-inflammatory drug (NSAID) often used to relieve pain and reduce fever in children.
B. Grapefruit juice does not increase the risk of Reye syndrome. However, it can interact with various medications, altering their effectiveness.
C. Using a humidifier can help ease symptoms of influenza by keeping the air moist, and it does not increase the risk of Reye syndrome.
D. This statement indicates an increased risk for Reye syndrome. Aspirin, or salicylate-containing medications, should be avoided in children and teenagers recovering from viral infections like influenza due to the associated risk of Reye syndrome.
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