A nurse on an oncology unit is assessing a child who has a brain tumor. Which of the following findings should the nurse expect?
Increased appetite
Negative Babinski reflex
Tachycardia
Hyporeflexia
The Correct Answer is D
Choice A reason: Increased appetite is not a common finding in children with brain tumors. On the contrary, they may have decreased appetite, nausea, vomiting, or weight loss due to increased intracranial pressure or tumor location.
Choice B reason: Negative Babinski reflex is a normal finding in children over 2 years old and adults. It means that the toes curl downward when the sole of the foot is stimulated. A positive Babinski reflex, which means that the big toe moves upward and the other toes fan outward, is a sign of damage to the corticospinal tract, which may be caused by a brain tumor.
Choice C reason: Tachycardia, or rapid heart rate, is not a specific finding for brain tumors. It may be caused by many factors, such as fever, pain, anxiety, dehydration, or medications. However, some brain tumors may affect the autonomic nervous system, which regulates the heart rate, and cause bradycardia, or slow heart rate.
Choice D reason: Hyporeflexia, or diminished reflexes, is a possible finding in children with brain tumors. It indicates a dysfunction of the lower motor neurons, which may be affected by the tumor or the increased intracranial pressure. Hyporeflexia may manifest as weakness, numbness, or decreased muscle tone in the affected limbs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Elbow restraints are commonly used for infants who have undergone cleft lip and palate repair to prevent them from touching or rubbing their incisions, which could cause bleeding, infection, or disruption of the sutures¹².
Choice B reason: Wrist restraints are not appropriate for infants who have undergone cleft lip and palate repair because they do not prevent the infant from reaching their mouth with their fingers or objects. Wrist restraints are more suitable for older children or adults who need to avoid pulling out tubes or catheters³.
Choice C reason: Jacket restraints are not indicated for infants who have undergone cleft lip and palate repair because they do not restrict the movement of the arms or hands. Jacket restraints are more useful for children who need to be secured to a bed or chair to prevent falls or injuries³.
Choice D reason: Mummy restraints are not recommended for infants who have undergone cleft lip and palate repair because they immobilize the entire body and can cause respiratory distress, overheating, or skin breakdown. Mummy restraints are only used for short procedures that require minimal movement, such as venipuncture or lumbar puncture³.
Correct Answer is B
Explanation
The correct answer is b. 2 mL/kg/hr. This is within the normal range for infants, indicating adequate hydration.
Choice A reason:
0.5 mL/kg/hr: This is below the normal range for infants, indicating possible dehydration3. Normal urinary output for infants is typically 1-2 mL/kg/hr.
Choice B reason:
2 mL/kg/hr: This is within the normal range for infants, indicating that the fluid imbalance has been corrected.
Choice C reason:
15 mL/kg/hr: This is excessively high and could indicate overhydration or other issues1. Such high output is not typical for infants.
Choice D reason:
75 mL/kg/hr: This is extremely high and unrealistic for normal urinary output1. It suggests a measurement error or a severe medical condition.
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