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

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?

A. Atrial fibrillation
B. Endocarditis
C. Hyperlipidemia
D. Hypertension

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. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which should the nurse do first?

A. Introduce him- or herself
B. Make the family comfortable
C. Give assurance of privacy
D. Explain the purpose of the interview

Correct answer: A

Rationale: Introducing oneself is the first step in establishing a rapport and setting a professional tone for the interaction.

3. What is the primary concern in a child with nephrotic syndrome?

A. Hypotension
B. Hyperkalemia
C. Hyperlipidemia
D. Hypocalcemia

Correct answer: C

Rationale: The correct answer is C: Hyperlipidemia. Children with nephrotic syndrome often present with hyperlipidemia due to altered lipid metabolism, making it a primary concern in these patients. Hypotension (choice A) is not a primary concern in nephrotic syndrome. Hyperkalemia (choice B) and hypocalcemia (choice D) are not typically associated with nephrotic syndrome and are less likely to be primary concerns in these patients.

4. An infant requires surgery for repair of a cleft lip. An important priority of the preoperative nursing care is which?

A. Initiating discharge teaching
B. Performing baseline physical and behavioral assessment
C. Observing for allergic reactions to preoperative antibiotics
D. Determining whether this defect exists in other family members

Correct answer: B

Rationale: Performing a baseline physical and behavioral assessment is crucial to determine the infant's current health status and to identify any potential risks before surgery.

5. What are classified as hydrocarbon poisons?

A. All below
B. Gasoline
C. Turpentine
D. Lighter fluid

Correct answer: A

Rationale: Hydrocarbon poisons include substances like gasoline, turpentine, and lighter fluid, which are typically liquids derived from petroleum. Bleach is a corrosive substance, not a hydrocarbon.