A 9-year-old male is diagnosed with Wilm's tumor. Which of the following would the nurse expect to note as the most common symptom?
•Wilm’s tumor, or nephroblastoma, is a malignant tumor of the kidneys. It typically occurs in children and has a high survival rate.
•The most common symptom is an asymptomatic abdominal mass, which occurs in 80% of patients.
•Other common symptoms may include hematuria (25%) and abdominal pain (25%).
•Pain during urination is a side effect of a UTI, which is a much less common complication of Wilm's tumor.
•Nausea and vomiting occasionally occur with a Wilm's tumor but are not common.
A patient comes to the emergency room with RLQ pain and vomiting. Which of these test results, if elevated, would be indicative of acute appendicitis?
The nurse is assessing a 5-year-old who has had a seizure. The patient's symptoms include
The nurse is caring for a preschooler with nephrotic syndrome. Which of the following signs and symptoms is a characteristic of minimal change nephrotic syndrome?
The parents of a 15-year-old with cystic fibrosis want to take their daughter with them on an extended vacation in the Caribbean. What anticipatory guidance should the nurse give the adolescent and her parents?
A physician prescribes acetaminophen 200 mg every 6 hours for a 12-month-old child who weighs 8 kg. The concentration on hand is 100 mg/ml and has a maximum dosage of 60 mg/kg/day. What should the nurse do next?
The nurse is examining a child suspected of having autism. What assessment findings would the nurse expect?
The nurse is caring for a patient with thalassemia major. What body appearance is associated with thalassemia major?
The nurse is providing patient education to a newly diagnosed asthmatic. The nurse provides the steps for proper use of a metered dose inhaler. Which of the following are the correct steps?
A 9-year-old girl is admitted to the hospital with cystic fibrosis. She also has a history of frequent respiratory infections. The child's susceptibility to respiratory infections is directly related to the fact that cystic fibrosis causes which of these physiological alterations?
Which of the following actions should be included in the teaching plan for the parents of a preschool-aged child with pediculosis capitis?
A 7-year-old has symptoms of acute lymphoblastic leukemia (ALL). Upon admission to the hospital, petechiae are noted on her trunk and extremities, and she reports epistaxis and tarry stools. In addition to the symptoms noted, the patient is also likely to have which of these other common symptoms?
The nurse observes the formation of new lesions on a patient suspected of having chickenpox. What necessary infection control precautions must the nurse implement?
A child with a history of seizures controlled with an anticonvulsant is brought to the clinic. His mother states that he has been very sleepy. To correct this, the mother reports that she cut his anticonvulsant dosage in half. How would you respond to the mother?
A 6-year-old girl is admitted to the hospital with pneumonia. Her treatment includes inhalation therapy and postural drainage. Postural drainage should be scheduled for which time?
The nurse is preparing the mother of a newborn with hip dysplasia for discharge. Which of the following indicates the mother understands the teaching regarding the Pavlik harness?
A toddler's parents ask the nurse how long the child is required to use a front facing car seat. How should the nurse respond?
An 8-year-old is brought to the emergency department by her mother. She is having intermittent episodes of loose stools and recurrent abdominal pain. The child is diagnosed with irritable bowel syndrome (IBS). Which of the following instructions will help reduce the frequency of symptoms?
The nurse is inspecting a 4-year-old's mouth at a routine office visit. How many teeth should the child have?
An infant with clubfoot will have his final cast removed today. Which member of the health care team can the nurse expect to be consulted?
When planning ongoing nursing care for a child with
The mother of a 2-year-old expresses frustration due to her daughter's refusal to follow her directions. The nurse explains that this behavior is normal for her age as she is trying to meet which developmental need?
A nurse is preparing a blood transfusion for an anemic toddler. Which of the following blood transfusion matches would cause a hemolytic reaction?