A mother brings her 2-year-old child for you to assess. The mother feels a lump whenever she fastens the child's diaper. Nephroblastoma is a likely diagnosis for this child when your physical examination of the abdomen reveals a(n):
a. fixed mass palpated in the hypogastric area.
b. tender, midline abdominal mass.
c. olive-sized mass of the right upper qua-drant.
d. nontender, slightly movable, flank mass.
D
A Wilms tumor (nephroblastoma) is the most common intraabdominal tumor of childhood. It presents with hypertension, fever, malaise, and a firm nontender mass deep within the flank that is only slightly movable and is usually unilateral.
You might also like to view...
The nurse is acting as team leader for a client care conference. Which opening statement is best for this meeting?
1. "We are all here to discuss the issues with this client's discharge. What issues are we facing?" 2. "The issue with this client is the time limit for Medicare to pay has almost expired, and we aren't ready for discharge." 3. "I don't really have time for this meeting today; is there anything I can do to expedite this meeting?" 4. "I will let you all decide what might be best, as I am not really as familiar with this client as I should be."
The fraction 80/100 when reduced to lowest terms is:
a. 8/10. b. 1/4. c. 4/5. d. 3/4.
Nurses in a small town that experienced the devastation of a number of tornados last year have formed a group to address the issue of disaster planning in their community
Which of the following are actions the nurses might take to prepare for another potential disaster? Select all that apply. a. Form a disaster plan for their own families b. Complete continuing education in disaster preparedness c. Encourage all residents of the town to move to a more urban area d. Become a volunteer for local or national disaster relief organizations e. Obtain information about rights and responsibilities in employment settings and understate law f. Do nothing because disasters such as tornados cannot be prevented
The nurse is preparing to administer an adrenergic drug intravenously. What nursing actions should be planned? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Give the drug as rapidly as possible by intravenous push. 2. Dilute the drug before administration. 3. Use an infusion pump to control rate of administration. 4. Monitor for blanching at the infusion site. 5. Advise the patient that a sweet taste may occur as the drug is being given.