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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Murmur – Correct. Aortic stenosis typically causes a systolic murmur.
B. Bradycardia – Incorrect. Aortic stenosis usually leads to tachycardia due to decreased cardiac output.
C. Hypotension – Correct. Decreased blood flow from the heart can result in low blood pressure.
D. Clubbing of the nail beds – Incorrect. Clubbing is more commonly associated with chronic hypoxia, as seen in cyanotic heart defects.
E. Weak pulses – Correct. Reduced cardiac output can lead to weak or thready peripheral pulses.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
Hypoxia (Low Oxygen Levels): The child's oxygen saturation has decreased from 95% to 93% on room air, which indicates a decline in oxygenation. Although this level is still within an acceptable range, a further drop could indicate respiratory compromise, especially with signs of labored breathing and a nonproductive cough.
Rationale for incorrect options:
Hypotension: The child's blood pressure remains stable (110/64 mm Hg), ruling out a significant risk of hypotension.
Constipation: While the child has hypoactive bowel sounds and hasn't had a bowel movement in two days, this does not pose the most immediate risk.
Dehydration: The child voided 200 mL of clear, yellow urine, suggesting adequate hydration status.
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