The nurse is assessing a 3-year-old boy whose parents brought him ...

[Lobcity]

The nurse is assessing a 3-year-old boy whose parents brought him to the clinic when they noticed the right side of his abdomen was swollen. Which of the following findings would suggest this child has a neuroblastoma?
 
  A) The child has a maculopapular rash on his palms.
  B) The parents report that their son is vomiting and not eating well.
  C) The parents report that their son is irritable and not gaining weight.
  D) Auscultation reveals wheezing with diminished lung sounds.

Question 2

A postpartum client has a fourth-degree perineal laceration. The nurse would expect which of the following medications to be ordered?
 
  A) Ferrous sulfate (Feosol)
  B) Methylergonovine (Methergine)
  C) Docusate (Colace)
  D) Bromocriptine (Parlodel)

[vickyvicksss]

Answer to Question 1

B
Response:
Along with the swollen abdomen on one side, vomiting and anorexia would point to the possibility of a neuroblastoma. A maculopapular rash on the child's palms is a sign of graft-versus-host disease. Irritability and failing to gain weight would suggest a possible brain tumor as well as malabsorption problems. Auscultation revealing wheezing with diminished lung sounds would suggest other problems, not a neuroblastoma.

Answer to Question 2

C
Response:
A stool softener such as docusate (Colace) may promote bowel elimination in a woman with a fourth-degree laceration, who may fear that bowel movements will be painful. Ferrous sulfate would be used to treat anemia. However, it is associated with constipation and would increase the discomfort when the woman has a bowel movement. Methylergonovine would be used to prevent or treat postpartum hemorrhage. Bromocriptine is used to treat hyperprolactinemia.

[Lobcity]

Gracias!

[ryansturges]

Excellent