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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This is a common symptom but bot a sign in children with otitis media. They may tug or pull at their ears due to discomfort or pain caused by the infection.
B. Manipulating the ear lobe can cause pain in children with otitis media because the infection often leads to inflammation and sensitivity in the ear area. This is, however, a symptom.
C. Erythema and edema are typical signs of inflammation, which can occur in the ear with otitis media.
D. While otitis media can cause some fluid buildup in the middle ear, clear drainage is not a common finding and may suggest another condition such as ear canal infection (otitis externa) or a perforated eardrum. Otitis media typically involves more purulent (pus-like) or cloudy fluid due to the infection.
Correct Answer is A
Explanation
Temper tantrums are a normal part of development in toddlers and often occur when they are frustrated or unable to express their needs effectively. Understanding that tantrums are the child's way of asserting independence and coping with overwhelming emotions can help parents respond to them more effectively.
B, C, and D are not accurate statements about temper tantrums. Leaving the room during a tantrum may not be safe or appropriate, getting a psychological consult is usually not necessary for typical temper tantrums, and temper tantrums are not indicative of a learning disability.
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