NUR 254 EXAM # 4 QUESTIONS WITH CORRECT
WELL DETAILED ANSWERS
Wilms tumor (nephroblastoma) - ✅✅- Most common kidney tumor in children
s/s: painless mass, firm non-tender, discovered during general care
Tx: removal of tumor, chemo, radiation
NI: monitor I&O, infection, pain, hydration, bowel function, kidney function
**DO NOT PALPATE**
Retinoblastoma - ✅✅- in the retina
s/s: white glow in pupil, strabismus, blindness
Tx: remove tumor, chemo, irradiation, cryotherapy, photocoagulation
NI: show pictures, sphere in eye, eye patch, clean eye, prosthetic,
InterCranial Pressure (ICP) - ✅✅s/s: change in personality (school age), bulging
fontanels (infant), high pitched cry, lethargy, headache, projectile vomiting,
inability to follow simple commands
Tx: drains, surgery
, NI: reflexes, neuro check, **elevate HOB 30**, midline minimal stimulation, VS,
I&O, dimmed light
**tx underlying cause infection/trauma**
**seizure**
**Late s/s= DECREASED EVERYTHING**
Hydrocephalus - ✅✅s/s: lg shape head, lethargy, high pitch cry, seizures
Tx: VP shunt
NI: monitor drain, infection (abx,ebd)
**VP shunt no high picthed cry**
**monitor infection**
Decorticate posturing - ✅✅
Decerebrate posturing - ✅✅
Bacterial Meningitis - ✅✅s/s: nuchal ridgitity, vomiting, irritation, Kernig,
Brudzinski, photosensitive, drowsiness
WELL DETAILED ANSWERS
Wilms tumor (nephroblastoma) - ✅✅- Most common kidney tumor in children
s/s: painless mass, firm non-tender, discovered during general care
Tx: removal of tumor, chemo, radiation
NI: monitor I&O, infection, pain, hydration, bowel function, kidney function
**DO NOT PALPATE**
Retinoblastoma - ✅✅- in the retina
s/s: white glow in pupil, strabismus, blindness
Tx: remove tumor, chemo, irradiation, cryotherapy, photocoagulation
NI: show pictures, sphere in eye, eye patch, clean eye, prosthetic,
InterCranial Pressure (ICP) - ✅✅s/s: change in personality (school age), bulging
fontanels (infant), high pitched cry, lethargy, headache, projectile vomiting,
inability to follow simple commands
Tx: drains, surgery
, NI: reflexes, neuro check, **elevate HOB 30**, midline minimal stimulation, VS,
I&O, dimmed light
**tx underlying cause infection/trauma**
**seizure**
**Late s/s= DECREASED EVERYTHING**
Hydrocephalus - ✅✅s/s: lg shape head, lethargy, high pitch cry, seizures
Tx: VP shunt
NI: monitor drain, infection (abx,ebd)
**VP shunt no high picthed cry**
**monitor infection**
Decorticate posturing - ✅✅
Decerebrate posturing - ✅✅
Bacterial Meningitis - ✅✅s/s: nuchal ridgitity, vomiting, irritation, Kernig,
Brudzinski, photosensitive, drowsiness
