Author Question: The nurse is asked to prepare for the admission of a child to the pediatric unit with a diagnosis of ... (Read 31 times)

nenivikky · **on:** Jul 22, 2018

The nurse is asked to prepare for the admission of a child to the pediatric unit with a diagnosis of Wilms tumor. The nurse is developing a plan of care for the child and suggests including which of the following in the plan of care?

1. Monitor the temperature for hypothermia.
2. Monitor the blood pressure for hypotension.
3. Inspect the urine for the presence of hematuria at each voiding.
4. Palpate the abdomen for an increase in the size of the tumor every 8 hours.

Question 2

A nurse is caring for a female client at home with a diagnosis of actinic keratosis. The client tells the nurse that her skin is very dry and irritated. The treatment includes diclofenac sodium (Solaraze).

The nurse teaches the client that this medication is from which class of medications? 1. Anti-infectives
2. Vitamin A lotions
3. Coal tar preparations
4. Nonsteroidal anti-inflammatory drugs (NSAIDs)

ebenov · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3

Rationale: If Wilms tumor is suspected, the tumor mass should not be palpated. Excessive ma-nipulation can cause seeding of the tumor and cause spread of the cancerous cells. Fever (not hypothermia), hematuria, and hypertension (not hypotension) are clinical manifestations associ-ated with Wilms tumor.

Answer to Question 2

4

Rationale: Diclofenac sodium (Solaraze) is a nonsteroidal anti-inflammatory drug (NSAID) for topical use. It is indicated for use for actinic keratosis. The mechanism underlying its benefits is unknown. The most common side effects are dry skin, itching, redness, and rash at the site of application. Diclofenac may sensitize the skin to ultraviolet radiation, and clients should therefore avoid sunlamps and minimize exposure to sunlight. Vitamin A would be contraindicated in the treatment of actinic keratosis. Coal tar is for psoriasis.