An infant who has a Wilms' tumor is admitted for surgery. Which intervention should the nurse implement during the preoperative period?
Administer pain medication based on the FACES pain scale.
Include the prone position in the every 2 hour turning schedule,
Careful bathing and handling that avoids abdominal manipulation.
Give antiemetic medications to prevent nausea and vomiting.
The Correct Answer is C
A. Administering pain medication based on the FACES pain scale is not the most relevant intervention in the preoperative period for a Wilms' tumor. Pain management may be addressed postoperatively, as needed.
B. Including the prone position in the every 2-hour turning schedule may not be the most appropriate intervention, as it may not be suitable for an infant with a Wilms' tumor, considering the location and potential size of the tumor.
C. Careful bathing and handling that avoids abdominal manipulation.
Wilms' tumor, also known as nephroblastoma, is a pediatric kidney cancer. Prior to surgery, it's crucial to handle the infant with care and avoid any abdominal manipulation to prevent any further complications or disruption to the tumor. This involves gentle handling and avoiding activities that may put pressure on the tumor or cause discomfort to the infant.
D. Giving antiemetic medications to prevent nausea and vomiting is a potential intervention, but it may be more relevant in the postoperative period, and its necessity would depend on the infant's individual condition and the surgical plan.
The priority during the preoperative period for an infant with a Wilms' tumor is to handle the infant carefully and avoid any actions that could exacerbate the condition or cause discomfort. The specific surgical plan and other preoperative preparations would be determined by the healthcare provider.
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Related Questions
Correct Answer is A
Explanation
Celiac disease is an autoimmune disorder in which individuals are unable to tolerate gluten, a protein found in wheat, barley, and rye. Therefore, foods containing wheat, barley, and rye should be avoided by individuals with celiac disease. The list of allowed foods should primarily consist of gluten-free options.
A. Rice is naturally gluten-free and is safe for individuals with celiac disease to consume.
B. Oats can be included in the diet of individuals with celiac disease, but they must be specifically labeled as "gluten-free oats." Regular oats can be cross-contaminated with gluten during processing, so it's important to choose certified gluten-free oats to avoid potential issues.
C. Rye contains gluten and should be avoided by individuals with celiac disease.
D. Barley contains gluten and should be avoided by individuals with celiac disease.
Correct Answer is C
Explanation
A. Administering pain medication based on the FACES pain scale is not the most relevant intervention in the preoperative period for a Wilms' tumor. Pain management may be addressed postoperatively, as needed.
B. Including the prone position in the every 2-hour turning schedule may not be the most appropriate intervention, as it may not be suitable for an infant with a Wilms' tumor, considering the location and potential size of the tumor.
C. Careful bathing and handling that avoids abdominal manipulation.
Wilms' tumor, also known as nephroblastoma, is a pediatric kidney cancer. Prior to surgery, it's crucial to handle the infant with care and avoid any abdominal manipulation to prevent any further complications or disruption to the tumor. This involves gentle handling and avoiding activities that may put pressure on the tumor or cause discomfort to the infant.
D. Giving antiemetic medications to prevent nausea and vomiting is a potential intervention, but it may be more relevant in the postoperative period, and its necessity would depend on the infant's individual condition and the surgical plan.
The priority during the preoperative period for an infant with a Wilms' tumor is to handle the infant carefully and avoid any actions that could exacerbate the condition or cause discomfort. The specific surgical plan and other preoperative preparations would be determined by the healthcare provider.
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