A mother has reported that her 18 month old has a lump on the ...

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A mother has reported that her 18 month old has a lump on the abdominal area. She has noticed the lump while changing her daughter's diaper. A nurse should assess by using which measure(s)?
 
  1. An abdominal circumference
   2. Palpation and an abdominal circumference
   3. Assessing the child's pain when the area is palpated
   4. Assessing pain, palpation, and an abdominal circumference

Question 2

Obese adolescents are at an increased risk for developing all of the following except:
 
  1. Type 1 diabetes.
   2. Gastro esophageal reflux.
   3. Sleep apnea.
   4. Hyperlipidemia.

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Answer to Question 1

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1. Palpation and pain assessment should also be conducted for a thorough exam.
2. A pain assessment is needed for the child.
3. An abdominal circumference should be performed.
4. Assessing pain, palpating, and measuring the abdominal circumference will aid in the nursing process for the child.

Answer to Question 2

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1. Type 1 diabetes is not caused by obesity. Type 2 is caused by obesity.
2. Reflux is a common issue in individuals who are obese.
3. Sleep apnea occurs in obese individuals.
4. Hyperlipidemia can occur in obese adolescents because of fatty food choices.