The parents of a child who is diagnosed with Wilm’s tumor ask the nurse why surgery is necessary before a biopsy is performed.
What information should the nurse provide?
The surgery provides a visualization of other pathology and dysfunction of the kidney.
Surgery is necessary to stage the tumor and determine metastasis to other sites.
Metal clips are surgically applied at the tumor site for exact marking for radiation.
Biopsy may rupture the encapsulated tumor and cause the cancer cells to spread.
The Correct Answer is D
Choice A rationale
While surgery can provide a visualization of other pathology and dysfunction of the kidney, this is not the primary reason for performing surgery before a biopsy in the case of Wilms’ tumor.
Choice B rationale
Although staging the tumor and determining metastasis to other sites is an important part of the treatment process, it is not the main reason for performing surgery before a biopsy in the case of Wilms’ tumor.
Choice C rationale
While metal clips may be surgically applied at the tumor site for exact marking for radiation in some cases, this is not the primary reason for performing surgery before a biopsy in the case of Wilms’ tumor.
Choice D rationale
The main reason for performing surgery before a biopsy in the case of Wilms’ tumor is that a biopsy may rupture the encapsulated tumor and cause the cancer cells to spread.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale
The absence of continuous headaches in the child indicates that the VP shunt is functioning normally. A VP shunt is used to treat hydrocephalus by draining excess cerebrospinal fluid from the brain to the abdomen. If the shunt is functioning properly, it should relieve pressure on the brain and reduce symptoms such as headaches.
Choice A rationale
While growth in height could be a positive sign of overall health and development, it does not specifically indicate that a VP shunt is functioning properly.
Choice C rationale
The presence of an intracranial pressure (ICP) monitoring probe does not indicate whether the shunt is functioning properly. The probe is a device used to measure ICP and does not provide information about the functionality of the shunt.
Choice D rationale
Being afebrile with normal vital signs postoperatively is a positive sign, but it does not specifically indicate that the shunt is functioning properly.
Correct Answer is B
Explanation
Choice A rationale
Sodium levels are not typically affected by hypoparathyroidism. Hypoparathyroidism primarily affects calcium and phosphorus levels in the body.
Choice B rationale
Hypoparathyroidism leads to abnormally low levels of parathyroid hormone, which results in low calcium levels in the blood. A carpal spasm when pressure is applied to the upper arm, also known as Trousseau’s sign, is a common symptom of hypocalcemia.
Choice C rationale
Potassium levels are not typically affected by hypoparathyroidism. Hypoparathyroidism primarily affects calcium and phosphorus levels in the body.
Choice D rationale
Chloride levels are not typically affected by hypoparathyroidism. Hypoparathyroidism primarily affects calcium and phosphorus levels in the body.
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