Nokea
Which statement by the mother of a child with Wilms' tumor tells the nurse that the mother understands what stage II tumor means?
- A. The tumor has extended beyond the kidney but was completely removed.
- B. Although the tumor was in the kidney, it has spread to the lung, liver, and bone.
- C. The tumor has extended outside the kidney to the lungs and the liver.
- D. The tumor was solely located in the kidney but it was totally removed.
Correct Answer: A
Rationale: Stage II indicates removal beyond kidney.
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The parents of a preschooler ask the nurse how to handle their child's temper tantrums. Which of the following should the nurse include in the teaching plan? Select all that apply.
- A. Putting the child in 'time-out.'
- B. Telling the child to go to his bedroom.
- C. Ignoring the child.
- D. Putting the child to bed.
- E. Spanking the child.
- F. Trying to reason with the child.
Correct Answer: A,C
Rationale: Time-out and ignoring the tantrum are effective strategies to reduce attention-seeking behavior.
The health care provider has ordered a sterile urine specimen on a 3-year-old boy with a history of recurrent urinary tract infections. The family is upset because the last time the child was catheterized the procedure was very painful and traumatic. The nurse should tell the family:
- A. I will request an order for a sedative to help him relax.
- B. I can't do anything to reduce the pain
- C. but you can hold him during the procedure.
- D. I will get an order for a lidocaine-based lubricant to make the procedure more comfortable.
- E. I can apply a topical anesthetic 20 minutes before placing the catheter.
Correct Answer: D
Rationale: Topical anesthetics can minimize discomfort.
When developing a recreational therapy plan of care for a 3-year-old child hospitalized with pneumonia and cystic fibrosis, which of the following toys would be appropriate?
- A. 100-piece jigsaw puzzle.
- B. Child's favorite doll.
- C. Fuzzy stuffed animal.
- D. Scissors, paper, and paste.
Correct Answer: B
Rationale: A child's favorite doll is appropriate for a 3-year-old, providing comfort and familiarity without posing a risk of irritation or infection, unlike fuzzy stuffed animals which can harbor dust or bacteria.
The nurse is inserting a nasogastric (NG) tube in a child admitted with head trauma. The nurse should explain to the parents that the NG tube will be used to:
- A. Administer medications.
- B. Decompress the stomach.
- C. Obtain gastric specimens for analysis.
- D. Provide adequate nutrition.
Correct Answer: B
Rationale: An NG tube in head trauma decompresses the stomach to prevent aspiration and manage gastric distension.
After teaching the mother of a young child with a peritoneal catheter about the signs and symptoms of peritonitis, the nurse determines that the mother has understood the teaching when she identifies which of the following as an important sign?
- A. Cloudy dialysate drainage return.
- B. Distended abdomen.
- C. Shortness of breath.
- D. Weight gain of 3 lb in 2 days.
Correct Answer: A
Rationale: Cloudy drainage indicates infection.