When assessing a child with Wilm's tumor, the nurse should keep in mind that it is most important to avoid which of the following?

Measuring the child's chest circumference

Palpating the child's abdomen

Measuring the child's occipitofrontal circumference

Placing the child in an upright position

Answer and Explanation

The Correct Answer is B

A. Measuring the child's chest circumference:

Measuring the chest circumference may not directly aid in the assessment of Wilm's tumor. While it's important for assessing respiratory conditions or monitoring growth, it's not a primary assessment for Wilm's tumor, which primarily affects the abdomen.

B. Palpating the child's abdomen:

This is an essential action in assessing for Wilm's tumor. The nurse should carefully palpate the abdomen to check for any masses, swelling, or tenderness, as these could be indicative of the tumor.

C. Measuring the child's occipitofrontal circumference:

This measurement pertains to the head circumference and is not directly related to the assessment of Wilm's tumor. While it's important for monitoring head growth and development, it's not a priority when assessing for Wilm's tumor.

D. Placing the child in an upright position:

Placing the child in an upright position may be necessary for certain assessments or procedures, but it's not directly related to assessing for Wilm's tumor. The focus should primarily be on abdominal assessment and palpation to detect any signs of the tumor.

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Correct Answer is D

Explanation

A. Baseball games: Participating in baseball games may involve running, jumping, and sudden movements that could potentially strain the surgical area or cause discomfort. It's best to avoid strenuous physical activities like baseball until the child has fully recovered from orchiopexy.

B. Running around the playground: Running around the playground may also involve vigorous physical activity that could potentially affect the surgical site. It's advisable to limit activities that involve running or jumping until the child's healthcare provider gives clearance.

C. Horseback riding: Horseback riding involves sitting on a horse and may put pressure on the groin area, where the surgical site is located. It's generally recommended to avoid activities like horseback riding until the child has fully healed from orchiopexy.

D. Puzzle games: Puzzle games are typically low-impact activities that do not involve physical exertion or strain on the surgical area. Engaging in quiet, seated activities like puzzle games can be suitable for a child who is recovering from orchiopexy and may help keep them entertained during the recovery period.

A. Children with Reye syndrome are admitted to the hospital B. I will have my children immunized against varicella and influenza C. I will give aspirin to my child to treat a headache D. I will make sure not to give my child any products containing aspirin

Correct Answer is C

Explanation

A. Children with Reye syndrome are admitted to the hospital:

This statement is accurate. Children with Reye syndrome often require hospital admission for monitoring and supportive care. Therefore, it does not indicate a need for further education.

B. I will have my children immunized against varicella and influenza:

This statement is also accurate. Vaccination against varicella (chickenpox) and influenza is recommended to prevent these illnesses. It does not indicate a need for further education.

C. I will give aspirin to my child to treat a headache:

This statement is concerning because giving aspirin to a child with Reye syndrome can worsen their condition. Aspirin use is contraindicated in children with viral illnesses due to the risk of Reye syndrome. Therefore, this statement indicates a need for further education.

D. I will make sure not to give my child any products containing aspirin:

This statement is accurate. Avoiding products containing aspirin is essential to prevent the risk of Reye syndrome in children. It does not indicate a need for further education.

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When assessing a child with Wilm's tumor, the nurse should keep in mind that it is most important to avoid which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following activities are appropriate for a child who is recovering from orchiopexy?

Correct Answer is D

Explanation

The nurse knows further education is needed about reye syndrome when a mother states:

Correct Answer is C

Explanation

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The nurse is providing discharge instructions to the parents of a 2-year-old child who had an orchiopexy to correct cryptorchidism. Which statement by the parents indicate that further teaching is necessary?

A child is diagnosed with Wilms' tumor. During assessment, the nurse in charge expects to detect:

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