A nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about the cancer diagnosis. Which of the following information should the nurse provide the parents about the most common malignant renal and intra-abdominal tumor of childhood?

Neuroblastoma

Ewing sarcoma

Osteosarcoma

Wilms' tumor

Answer and Explanation

The Correct Answer is D

A.   Neuroblastoma is a type of cancer that arises from immature nerve cells and commonly affects infants and young children. While it can occur in the abdomen, it is not primarily a renal tumor.
B.   Ewing sarcoma is a type of bone cancer that primarily affects children and adolescents. It typically arises in the bones of the pelvis, legs, arms, ribs, or spine. While it can involve the abdominal area if it metastasizes (spreads), it is not primarily an intra-abdominal tumor.
C.   Osteosarcoma commonly arises in the long bones of the arms and legs. While it can spread to other parts of the body, including the abdomen, it is primarily a bone tumor.
D.   Wilms' tumor, also known as nephroblastoma, is the most common malignant renal (kidney) tumor of childhood. It typically occurs in children around 2 to 5 years old and is often detected as a firm, non- tender abdominal mass.

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Correct Answer is A

Explanation

The practice as it helps prevent the backflow of stomach contents into the esophagus, which is beneficial for infants with gastroesophageal reflux.

B. This statement does not necessarily indicate an understanding of the teaching. Breast milk or formula can be used for infants with reflux; however, some formulas are designed to be easier to digest or less likely to cause reflux.

C. This is not generally recommended for infants with reflux. The safest position for all infants, including those with reflux, is on their back to reduce the risk of sudden infant death syndrome (SIDS).

D. This may be recommended in some cases to help reduce the symptoms of reflux. However, it's important to do this under the guidance of a healthcare provider to ensure it's done safely and appropriately. Thickening formula should be done with caution as it can increase the risk of choking.

A. "Our child's blood count will need to be monitored routinely for several weeks." B. "Restricting fiber from our child's diet will help absorption of the iron." C. "The medication will be more effective if it is administered with meals." D. "The medication should be administered in one large dose every day."

Correct Answer is A

Explanation

A. Monitoring the child's blood count is essential to assess the effectiveness of the iron supplements and ensure the child's anemia is being treated properly.

B. Dietary fiber does not enhance iron absorption; in fact, high levels of fiber can inhibit the absorption of iron. It is generally recommended to maintain a balanced diet while taking iron supplements.

C. Iron supplements are best absorbed on an empty stomach. However, if they cause stomach upset, they may be taken with a small amount of food or as directed by a healthcare provider.

D. Iron supplements should be administered in divided doses throughout the day to enhance absorption and minimize gastrointestinal side effects.

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A nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about the cancer diagnosis. Which of the following information should the nurse provide the parents about the most common malignant renal and intra-abdominal tumor of childhood?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is providing teaching to the parents of a child who has iron deficiency anemia and is taking iron supplements. Which of the following statements by the parents indicates an understanding of the teaching?

Correct Answer is A

Explanation

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