A nursing student is caring for a child diagnosed with Wilms' ...

[azncindy619]

A nursing student is caring for a child diagnosed with Wilms' tumor. Which action by the student causes the faculty member to intervene?
 
  A.
  Assesses urinary output per protocol
  B.
  Involves the parents in the child's care
  C.
  Palpates the abdomen in all four quadrants
  D.
  Provides frequent nutritious snacks

Question 2

A 4-year-old child is several days postoperative after a resection of a brain tumor. The nurse finds the child irritable and lethargic, and notes that she has vomited. Which medication does the nurse anticipate administering?
 
  A.
  Dexamethasone (Decadron)
  B.
  Fosphenytoin (Cerebyx)
  C.
  Odansetron (Zofran)
  D.
  Phenytoin (Dilantin)

[C.mcnichol98]

Answer to Question 1

ANS: C
Wilms' tumor is a solid, encapsulated mass that can rupture with palpation. Once the child is diagnosed with this cancer, palpation of the child's abdomen is prohibited. The other actions are appropriate.

Answer to Question 2

ANS: A
This child has manifestations of increased intracranial pressure, a possible outcome after brain surgery. The nurse prepares to administer a corticosteroid to decrease the edema. Fosphenytoin and phenytoin are for seizures. Odansetron is for nausea.

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TYSM

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