Nokea
Which physical assessment technique will the nurse omit when caring for a 2-year-old child diagnosed with Wilms' tumor?
- A. Performing range-of-motion exercises on lower extremities
- B. Palpating the abdomen
- C. Assessing for bowel sounds
- D. Percussing ankle and knee reflexes
Correct Answer: B
Rationale: Palpation of the abdomen could disturb the tumor and cause the malignancy to spread.
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The nurse is providing information to parents of a child born with bilateral cryptorchidism. What information is accurate to include?
- A. This is the most common form.
- B. Fertility will be unaffected.
- C. Surgical intervention is not recommended.
- D. An inguinal hernia may be present.
Correct Answer: D
Rationale: Inguinal hernia often accompanies bilateral cryptorchidism.
The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. Which statement made by the parent indicates a need for further teaching?
- A. My daughter should wash and wipe the perineal area from front to back.'
- B. I am only going to have my daughter wear cotton underwear.'
- C. It is acceptable to take frequent bubble baths.'
- D. She needs to drink lots of fluids and void frequently.'
Correct Answer: C
Rationale: Oils in bubble bath and similar products are known to irritate the urethra.
A parent tells the nurse that her child is scheduled for an x-ray of the bladder and urethra that is done while the child is urinating. What is this test known as?
- A. Cystometrogram
- B. Cystoscopy
- C. Voiding cystourethrogram
- D. Intravenous pyelogram
Correct Answer: C
Rationale: An x-ray examination of the bladder and urethra before and during micturition is called a voiding cystourethrogram.
An adolescent male is admitted to the ED with severe acute scrotal pain. When documenting medical history the nurse notes cryptorchidism at birth. What diagnosis does the nurse expect?
- A. Urinary tract infection
- B. Nephrosis
- C. Torsion
- D. Phimosis
Correct Answer: C
Rationale: Acute scrotal pain in a patient with a history of cryptorchidism may indicate testicular torsion, requiring immediate surgery.
The 6-year-old child scheduled for an orchiopexy shyly asks the nurse, 'What are they going to do to me _down there'?' What is the nurse's best response?
- A. They are going to fix you up down there.'
- B. They will move your testicle from your abdomen to your scrotum.'
- C. What do you think your doctor is going to do?'
- D. You shouldn't worry. Your doctor knows exactly what to do.'
Correct Answer: C
Rationale: Encourage the patient to talk about what he knows and what feelings he has about the surgery.