The nurse is assessing a 13-year-old girl with a family history of kidney cancer who has come to the clinic complaining of abdominal pain, nausea, and vomiting
Which of the following findings would the nurse identify as least likely indicative of cancer in a child? A) The child reports rectal bleeding and diarrhea.
B) Observation reveals an asymmetric abdomen.
C) The child experiences a broken bone without trauma.
D) Palpation determines an abdominal mass.
A
Feedback:
Rectal bleeding and diarrhea are symptoms of rectal cancer in adults and are not typical of children with cancer. The child reporting that a bone broke without any trauma, the nurse observing asymmetric swelling in the abdomen, or palpation revealing a mass in the abdomen are findings in children with cancer.
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Health promotion measures the nurse could suggest to clients to prevent renal artery disease are
a. avoiding UTIs, or seeking prompt treatment if they occur. b. eating a "Mediterranean" style diet. c. the same as those for cardiovascular disease. d. unknown; it appears that it is an inherited condition.
Which of the following statements made by the mother of an infant who is born severely cognitively challenged indicates an appropriate understanding of her infant's long-term needs?
A) "I know that once my child begins school, she will catch up with other children." B) "I realize that my child will need all of my attention for the rest of her life." C) "I understand my child will grow up but needs to develop as much independence as possible." D) "I realize that my child will need close supervision once she becomes sexually active."
An elderly client who had cholecystitis five months ago is returning to the clinic for follow-up care. The nurse concludes that one of the client goals was met when the client states which of the following?
1. "I have been able to gain 5 pounds on the new diet.". 2. "I have been walking 1 mile every day.". 3. "I have been dating.". 4. "I have increased my intake of fat.".
A nurse administering medications to a variety of patients on a medical-surgical floor recognizes that which patients may need additional education about medication adherence?
1. Fifty-year-old recently remarried male taking antihypertensive medication 2. Thirty-four-year-old female with family history of blood clots taking an estrogen oral contraceptive 3. Sixty-eight-year-old male recently started on antidepressants known to cause gynecomastia 4. Twenty-eight-year-old female started on acne medication known to cause male-patterned hair growth 5. Seventy-eight-year-old male taking estrogen as therapy for prostate cancer