1 Answers: 1, 3, 4This is the usual presentation of
Wilm's
tumor (nephroblastoma), and palpating the area may
cause the tumor to spread. Since Wilm's tumor is a
cancer of the kidney, it important to assess growth
1 An 18-month-old client is
and development; kidney function; and blood
brought in for a well-child
pressure, which
visit. The parent reports
may be elevated due to increased renin production.
feeling a lump to the right
There is no evidence of abuse or rationale for
of
performing a neuro check.
the "bellybutton" during
bathing. Initial
assessments
should include: (Select all
that apply.)
1. Measuring weight and
height.
2. Palpation of the area.
3. Routine urine testing.
4. Vital signs.
5. Questioning the parents
about abuse.
9 Answer: 4All of these assessments look at possible
postoperative complications. Since the child is left
with
Following diagnosis of only one kidney, failure of that kidney due to
Wilms' tumor, the child inadequate blood flow, infection, or any other cause
undergoes removal of the could be
affected kidney. In the fatal.
postoperative period,
priority nursing
assessments should
focus on:
1. The incision.
2. Lung sounds.
3. Temperature.
4. Kidney function.
, 3 Answer: 3Self-care during external radiation therapy
includes loose-fitting clothes, gentle washing with
mild
soap, avoiding sun exposure, and avoiding scratching
3 A client is to begin and other irritation. Any lubricant must be
radiation therapy after the watersoluble, not oil-based such as petrolatum jelly.
removal of Wilms' tumor.
The parent statement that
indicates to the nurse a
lack of understanding of
related skin care would be
"We will:
1. Use loose-fitting clothes
on our child."
2. Protect our child from
sun exposure."
3. Keep the area moist
with petrolatum jelly."
4. Prevent our child from
scratching the site."
Answers: 2, 5Epispadias and bilateral inguinal
hernias
are frequent anomalies associated with exstrophy of
1 A newborn is found to the
have exstrophy of the bladder. The other conditions listed are not
bladder. The nurse should
evaluate the infant for:
(Select
all that apply.)
1. Hypospadias.
2. Epispadias.
3. Cryptorchidism.
4. Acute tubular necrosis.
5. Bilateral inguinal
hernias.
, Answer: 2Edema is the major clinical symptom of
nephrosis. The child may gain twice his or her normal
weight in severe cases
2 A child has been
admitted to the hospital
with a diagnosis of "rule
out nephrosis." The nurse
would assess the child for:
1. Hematuria.
2. Edema.
3. Petechial rash.
4. Dehydration.
Answer: 3Diapers are weighed on a gram scale
before
using them and after removal (1 g = 1 mL). The
weight
of the dry diaper is then subtracted from the weight of
the wet diaper to determine urine output
3 The nurse is caring for a
toddler who is not
toilettrained. The doctor
has ordered intake and
output
measurement. The nurse
will most accurately
measure the urine by:
1. Estimating output as
small, moderate, or large
and
recording on the child's
chart.
2. Weighing each wet
diaper and recording the
weight of
the diaper as the amount
of urine output.
3. Subtracting the weight
of a dry diaper from a wet
diaper
and record this amount.
4. Determining urine
output by the number of
diaper
changes in each 24-hour
period.
, Answer: 3Diapers are weighed on a gram scale
before
using them and after removal (1 g = 1 mL). The
weight
of the dry diaper is then subtracted from the weight of
the wet diaper to determine urine output
3 The nurse is caring for a
toddler who is not
toilettrained. The doctor
has ordered intake and
output
measurement. The nurse
will most accurately
measure the urine by:
1. Estimating output as
small, moderate, or large
and
recording on the child's
chart.
2. Weighing each wet
diaper and recording the
weight of
the diaper as the amount
of urine output.
3. Subtracting the weight
of a dry diaper from a wet
diaper
and record this amount.
4. Determining urine
output by the number of
diaper
changes in each 24-hour
period.
Wilm's
tumor (nephroblastoma), and palpating the area may
cause the tumor to spread. Since Wilm's tumor is a
cancer of the kidney, it important to assess growth
1 An 18-month-old client is
and development; kidney function; and blood
brought in for a well-child
pressure, which
visit. The parent reports
may be elevated due to increased renin production.
feeling a lump to the right
There is no evidence of abuse or rationale for
of
performing a neuro check.
the "bellybutton" during
bathing. Initial
assessments
should include: (Select all
that apply.)
1. Measuring weight and
height.
2. Palpation of the area.
3. Routine urine testing.
4. Vital signs.
5. Questioning the parents
about abuse.
9 Answer: 4All of these assessments look at possible
postoperative complications. Since the child is left
with
Following diagnosis of only one kidney, failure of that kidney due to
Wilms' tumor, the child inadequate blood flow, infection, or any other cause
undergoes removal of the could be
affected kidney. In the fatal.
postoperative period,
priority nursing
assessments should
focus on:
1. The incision.
2. Lung sounds.
3. Temperature.
4. Kidney function.
, 3 Answer: 3Self-care during external radiation therapy
includes loose-fitting clothes, gentle washing with
mild
soap, avoiding sun exposure, and avoiding scratching
3 A client is to begin and other irritation. Any lubricant must be
radiation therapy after the watersoluble, not oil-based such as petrolatum jelly.
removal of Wilms' tumor.
The parent statement that
indicates to the nurse a
lack of understanding of
related skin care would be
"We will:
1. Use loose-fitting clothes
on our child."
2. Protect our child from
sun exposure."
3. Keep the area moist
with petrolatum jelly."
4. Prevent our child from
scratching the site."
Answers: 2, 5Epispadias and bilateral inguinal
hernias
are frequent anomalies associated with exstrophy of
1 A newborn is found to the
have exstrophy of the bladder. The other conditions listed are not
bladder. The nurse should
evaluate the infant for:
(Select
all that apply.)
1. Hypospadias.
2. Epispadias.
3. Cryptorchidism.
4. Acute tubular necrosis.
5. Bilateral inguinal
hernias.
, Answer: 2Edema is the major clinical symptom of
nephrosis. The child may gain twice his or her normal
weight in severe cases
2 A child has been
admitted to the hospital
with a diagnosis of "rule
out nephrosis." The nurse
would assess the child for:
1. Hematuria.
2. Edema.
3. Petechial rash.
4. Dehydration.
Answer: 3Diapers are weighed on a gram scale
before
using them and after removal (1 g = 1 mL). The
weight
of the dry diaper is then subtracted from the weight of
the wet diaper to determine urine output
3 The nurse is caring for a
toddler who is not
toilettrained. The doctor
has ordered intake and
output
measurement. The nurse
will most accurately
measure the urine by:
1. Estimating output as
small, moderate, or large
and
recording on the child's
chart.
2. Weighing each wet
diaper and recording the
weight of
the diaper as the amount
of urine output.
3. Subtracting the weight
of a dry diaper from a wet
diaper
and record this amount.
4. Determining urine
output by the number of
diaper
changes in each 24-hour
period.
, Answer: 3Diapers are weighed on a gram scale
before
using them and after removal (1 g = 1 mL). The
weight
of the dry diaper is then subtracted from the weight of
the wet diaper to determine urine output
3 The nurse is caring for a
toddler who is not
toilettrained. The doctor
has ordered intake and
output
measurement. The nurse
will most accurately
measure the urine by:
1. Estimating output as
small, moderate, or large
and
recording on the child's
chart.
2. Weighing each wet
diaper and recording the
weight of
the diaper as the amount
of urine output.
3. Subtracting the weight
of a dry diaper from a wet
diaper
and record this amount.
4. Determining urine
output by the number of
diaper
changes in each 24-hour
period.
