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
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.
You might also like to view...
A child has been admitted with suspected pheochromocytoma. What action by the nurse takes priority?
A. Auscultate lung sounds every 4 hours during fluid therapy. B. Facilitate stat laboratory draws when the child has episodic symptoms. C. Perform a complete abdominal assessment including palpation. D. Withhold water for 8 hours and collect hourly urine samples.
The nurse is making a home visit to an older adult who has severe rheumatoid arthritis with flexion contractures of all four extremities. He is confined to bed. What nursing diagnosis is appropriate in relation to safety?
a. Risk for poisoning c. Risk for trauma b. Risk for suffocation d. Risk for disuse syndrome
A single, pregnant teenager in a parenting class discloses her ambivalence toward the pregnancy and the subsequent guilt that these thoughts generate
A mother of three admits to having felt that way herself. Which of Yalom's curative group factors does this illustrate? A. Imparting of information B. Instillation of hope C. Altruism D. Universality
A common sign of opioid toxicity is ________.
A. red eyes B. dry eyes C. mydriasis D. pinpoint pupils