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.
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.
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The nurse who is seeking legal guidance in delegating assignments to assist workers in an ambulatory care setting would best consult
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