The nurse is preparing to post a sign above the crib of an infant ...

[KWilfred]

The nurse is preparing to post a sign above the crib of an infant with a Wilms tumor. Which statement should the nurse post immediately?
 
  A) Do not palpate abdomen..
  B) No intramuscular injections..
  C) No milk or milk products allowed..
  D) No blood sampling in lower extremities..

Question 2

While assessing a school-age child with a brain tumor after morning report, the child has an episode of projectile vomiting. What should the nurse do to help the child?
 
  A) Hold the child's breakfast tray.
  B) Administer an antiemetic as prescribed.
  C) Provide a cool compress for the forehead.
  D) Provide a snack until the breakfast tray arrives.

[ApricotDream]

Answer to Question 1

A
Feedback:
It is important that the child's abdomen not be palpated any more than is necessary for diagnosis because handling appears to aid metastasis. Place a sign reading No Abdominal Palpation over the child's crib to help prevent this. Intramuscular injections, milk products, or blood sampling in the lower extremities are not contraindicated for this health problem.

Answer to Question 2

D
Feedback:
In a child with a brain tumor, vomiting most commonly occurs on arising. The child with a brain tumor is not usually nauseated and will eat immediately afterward. The vomiting pattern occurs morning after morning. Vomiting eventually will become projectile. The nurse should provide the child with a snack until the morning breakfast tray arrives. The child will be hungry and can eat after an episode of projectile vomiting. The child does not need an antiemetic or a cool compress.