which clinical manifestations should the nurse expect in a child diagnosed with nephroblastoma
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Nursing Elites

ATI RN

RN Nursing Care of Children Online Practice 2019 A

1. Which clinical manifestations should the nurse expect in a child diagnosed with nephroblastoma?

Correct answer: D

Rationale: The correct answer is D: Hypertension. Nephroblastoma, also known as Wilms' tumor, often causes hypertension due to its impact on the kidney, which plays a role in regulating blood pressure. Atrial fibrillation (choice A) and endocarditis (choice B) are not typically associated with nephroblastoma. Hyperlipidemia (choice C) is also not a common clinical manifestation of nephroblastoma.

2. What is an important priority in dealing with the child suspected of having Wilms tumor?

Correct answer: C

Rationale: The correct priority in dealing with a child suspected of having Wilms tumor is ensuring the abdomen is protected from palpation. Palpating the abdomen could lead to tumor dissemination, which is crucial to prevent the spread of cancerous cells. Intervening to minimize bleeding, monitoring temperature for infection, and teaching parents how to manage parenteral nutrition are not the immediate priorities in suspected cases of Wilms tumor.

3. Which is usually the only symptom of pediculosis capitis (head lice)?

Correct answer: A

Rationale: Itching is typically the primary and most common symptom of pediculosis capitis due to the lice bites on the scalp.

4. The nurse understands that blocks to therapeutic communication include what? (Select all that apply.)

Correct answer: B

Rationale: Socializing, using clichés, and defending a situation are all barriers to effective therapeutic communication. Silence is a useful tool in therapeutic communication.

5. Children may believe that they are responsible for their parents' divorce and interpret the separation as punishment. At which age is this most likely to occur?

Correct answer: C

Rationale: At around 8 years old, children may feel they are responsible for their parents' divorce and view it as a punishment, which can impact their emotional well-being.

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