A 2-mo-old male infant has a left flank mass discovered incidentally by the mother; radiological imaging reveals a left renal mass. Of the following, the MOST likely diagnosis is
- A. nephroblastoma
- B. neuroblastoma
- C. mesoblastic nephroma
- D. clear cell sarcoma
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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During an assessment, a healthcare professional is evaluating an infant with pneumonia. Which of the following findings should be the priority for the healthcare professional to report to the provider?
- A. Nasal flaring
- B. WBC count of 11,300
- C. Diarrhea
- D. Abdominal distension
Correct Answer: A
Rationale: When assessing an infant with pneumonia, the priority finding to report to the provider is nasal flaring. Nasal flaring indicates acute respiratory distress, which can be a life-threatening condition requiring immediate intervention. Monitoring and addressing respiratory distress take precedence over other symptoms or laboratory results in this situation.
A 2-mo-old male infant has a left flank mass discovered incidentally by the mother; radiological imaging reveals a left renal mass. Of the following, the MOST likely diagnosis is
- A. nephroblastoma
- B. neuroblastoma
- C. mesoblastic nephroma
- D. clear cell sarcoma
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which food should be avoided by a child with acute glomerulonephritis to prevent hyperkalemia, as recommended by the nurse?
- A. Dairy products
- B. Whole-grain cereals
- C. Organ meats
- D. Bananas
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?
- A. Assist the child in minimizing body movements.
- B. Change the child's position frequently.
- C. Maintain the child's bed flat.
- D. Keep edematous areas moist and covered.
Correct Answer: B
Rationale: Changing the child's position frequently is essential for preventing respiratory tract infections and reducing pressure on delicate skin, which are common risks for edematous children with reduced mobility due to nephrotic syndrome. This intervention helps promote circulation and prevents complications associated with prolonged immobility.
What side effect should the nurse include in the parent teaching for a child prescribed a baclofen pump for cerebral palsy?
- A. Diarrhea
- B. Hypertonia
- C. Hypotonia
- D. Restlessness
Correct Answer: C
Rationale: When a child is prescribed a baclofen pump for cerebral palsy, one of the common side effects to include in parent teaching is hypotonia. Baclofen, a muscle relaxant, can lead to decreased muscle tone, resulting in hypotonia. It is important for parents to be aware of this potential side effect and know how to respond accordingly.