For a child diagnosed with a Wilm's tumor. The nurse recognizes that which of the following is MOST important intervention when planning care for this child?

Avoiding further palpation of the abdomen

Obtaining an accurate height and weight

Monitoring vital signs

Assessing the urine for the presence of blood

Answer and Explanation

The Correct Answer is A

A. Avoiding further palpation of the abdomen is crucial to prevent rupture of the tumor and potential spread of cancer cells.
B. Obtaining an accurate height and weight is important but not as critical as preventing tumor rupture.
C. Monitoring vital signs is essential but not the priority intervention in this context.
D. Assessing the urine for the presence of blood is important for overall assessment but not the most critical intervention compared to avoiding tumor rupture.

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Correct Answer is D

Explanation

A. Decreased H & H and platelet count are not typical findings in glomerulonephritis.
B. Decreased BUN is not expected; BUN typically increases due to impaired kidney function.
C. Decreased Sed Rate is not expected; Sed Rate may increase due to inflammation.
D. Elevated BUN and Creatinine indicate impaired kidney function. Urine specific gravity of 1.030 indicates concentrated urine, and a positive ASO titer suggests a recent streptococcal infection, which is associated with glomerulonephritis.

A. The child's urine output is 190mL in an 8-hour period and their urine is dark brown B. The child is lethargic, confused and complains of a headache and double vision C. The child's BUN, creatinine, and erythrocyte sedimentation rate are elevated D. The child sleeps most of the day, is irritable when awake, and the BP is 138/80

Correct Answer is B

Explanation

A. Decreased urine output and dark brown urine are concerning but not immediately life-threatening.
B. Lethargy, confusion, headache, and double vision are signs of severe hypertension and possibly hypertensive encephalopathy, which require immediate attention.
C. Elevated BUN, creatinine, and ESR are indicative of kidney dysfunction but are not as immediately concerning as neurological symptoms.
D. While elevated BP and irritability are concerning, they are not as immediately critical as the neurological symptoms in option B.

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For a child diagnosed with a Wilm's tumor. The nurse recognizes that which of the following is MOST important intervention when planning care for this child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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