A nurse is providing discharge teaching to the caregiver of a 3•year•old client with Wilms' tumor who is being discharged after a nephrectomy. Which of the following statements indicates the caregiver understands the activity restrictions now that the client has one kidney? "My child can:

resume playing on their soccer team next year.

only participate in nonphysical activities from now on."

participate in noncontact sports like swimming as they grow."

engage in any sports once the incision heals.

Answer and Explanation

The Correct Answer is C

A. Resume playing on their soccer team next year. – Incorrect. Contact sports pose a risk of injury to the remaining kidney and should be avoided.

B. Only participate in nonphysical activities from now on. – Incorrect. While high-impact sports should be avoided, moderate noncontact physical activity is encouraged for overall health.

C. Participate in noncontact sports like swimming as they grow. – Correct. Noncontact sports like swimming, running, or cycling are safe options.

D. Engage in any sports once the incision heals. – Incorrect. Some sports pose a risk of kidney injury and should be avoided.

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Correct Answer is D

Explanation

A. Prevents respiratory infections. – Incorrect. Pamidronate does not affect the risk of infections.

B. Improves joint mobility. – Incorrect. Bisphosphonates do not directly improve joint movement.

C. Decreases pain and inflammation. – Incorrect. While reducing fractures may indirectly decrease pain, the primary goal is to improve bone density.

D. Increases bone density. – Correct. Bisphosphonates like pamidronate inhibit bone resorption and strengthen bones, reducing fractures in osteogenesis imperfecta (brittle bone disease).

A. The child’s parent applies the prescribed medication instructed. B. The parent allows their child to attempt to lift their older sibling above the ground. C. The child’s parent enforces nose blowing when necessary. D. The Childs parent States that they developed a plan to have their child use ear plugs in the shower, E. The parent noticed purulent drainage from their child's ear and immediately reported it to the surgeon.

Correct Answer is ["A","D","E"]

Explanation

A. The child’s parent applies the prescribed medication instructed. – Correct. Proper administration of medication helps prevent infection and promotes healing.

B. The parent allows their child to attempt to lift their older sibling above the ground. – Incorrect. Strenuous activities should be avoided to prevent tube displacement.

C. The child’s parent enforces nose blowing when necessary. – Incorrect. Nose blowing should be avoided as it can increase pressure and dislodge the tubes.

D. The child’s parent states that they developed a plan to have their child use earplugs in the shower. – Correct. Water should be kept out of the ears to prevent infection.

E. The parent noticed purulent drainage from their child's ear and immediately reported it to the surgeon. – Correct. Reporting drainage helps identify potential infections early.

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A nurse is providing discharge teaching to the caregiver of a 3•year•old client with Wilms' tumor who is being discharged after a nephrectomy. Which of the following statements indicates the caregiver understands the activity restrictions now that the client has one kidney? "My child can:

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Naxlex Comprehensive Predictor Exams

The nurse understands that the therapeutic action of an Intravenous infusion of Bisphosphonate therapy (pamidronate) in the treatment of Osteogenesis Imperfecta achieves what result? It:

Correct Answer is D

Explanation

A nurse is providing teaching for a parent of a preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago. Which of the following actions should the nurse identify as an indication that the teaching was effective? (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

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