The child is admitted to the hospital after being diagnosed with ...

[robinn137]

The child is admitted to the hospital after being diagnosed with retinoblastoma. Which assessment finding does the nurse anticipate for this child?
 
  1. A red reflex
  2. Yellow sclera
  3. A white pupil
  4. Blue-tinged sclera

Question 2

A 24-hour urine collection for vanillylmandelic acid (VMA) has been ordered on a child suspected of having neuroblastoma. When is the most appropriate time for the nurse to begin the collection?
 
  1. At 0700
  2. After the next time the child voids
  3. At bedtime
  4. When the order is noted

[Kedrick2014]

Answer to Question 1

Correct Answer: 3
Rationale: The first sign of retinoblastoma is a white pupil. The red reflex is absent. Yellow sclera is a sign of jaundice, not retinoblastoma. Blue-tinged sclera is a sign of osteogenesis imperfecta, not retinoblastoma.

Answer to Question 2

Correct Answer: 2
Rationale: A 24-hour urine collection is started after the child voids. That specimen is not saved, but all subsequent specimens in that 24-hour period should be collected. It would not be an accurate collection of 24 hours of urine if the collection began at 0700, bedtime, or when the order is noted.

[robinn137]

Correct answers!

[Kedrick2014]

Great! Please up vote