Nephroblastoma

Question 1 of 8

The nurse is caring for a three-year-old client who has just been admitted with a possible diagnosis of nephroblastoma. During the assessment of this client the nurse notes which of the following as a possible clinical manifestation of this tumor?

Hypertension

Headaches

Blurred Vision

Fever

Question 2 of 8

The nurse is taking care of a one-year-old client who has just undergone surgery to have a nephroblastoma removed. The nurse knows it is important to include which of the following in the nursing care plan? Select all that apply.

Assessing the child’s bowel function for any signs of bowel obstruction

Monitor blood pressure closely

Restricting fluid intake to avoid overwhelming the remaining kidney

Strictly monitoring urine output by weighing the child’s diapers

Turn the patient every 2 hours to prevent bed sores

Question 3 of 8

The nurse is precepting a student who is caring for a two-year-old client just admitted with a possible diagnosis of nephroblastoma. Prior to the student assessing the child, which of the following would be the most important things to discuss with the student?

“Avoid turning on bright lights because it could distress the child and worsen the headaches associated with nephroblastomas”

“Do not palpate the abdomen during your assessment because it could cause trauma to the tumor and spread the cancer cells”

“Be sure to let me know immediately if pupils are sluggish or unequal because this could be a sign of a complication of the nephroblastoma

“Do not distress the child because crying and stress could cause a hypoxic episode”

Question 4 of 8

The parents of a child who has just been diagnosed with a nephroblastoma demonstrate an accurate understanding of the treatment plan by stating which of the following?

“After surgery my child will need to undergo radiotherapy and chemotherapy”

“Surgery will happen in a couple of weeks after we can get blood work done and confirm the diagnosis”

“Treatment is primarily chemotherapy and radiation”

“After surgery we can go home and come back for follow up in a few months to make sure the tumor is gone”

Question 5 of 8

When providing end-of-life care to a 4-year-old child who is dying of cancer, which of the following interventions would be utilized to ensure that the nurse is providing adequate pain control?

Ask the provider to order a patient-controlled analgesia

Ask for feedback from the parents about the effectiveness of pain control

Ensure the pain medication is available as an oral liquid instead of IV preparation

Encourage the child to talk about his feelings

Question 6 of 8

An experienced nurse is observing a new nurse assessing a 7-year-old child with nephroblastoma. The experienced nurse should intervene if the new nurse is observed doing which of the following?

Lung auscultation

Abdominal palpation

Assessing urine output

Peripheral pulse palpation

Question 7 of 8

The nurse caring for a child just diagnosed with Wilms Tumor explains to the parent that the tumor originates from which of the following type of cells?

Glial Cells

Lung cells

Nerve cells

Renal cells

Question 8 of 8

The provider has ordered a nephrostomy tube for a client in the nurse’s care. How should the nurse explain the procedure for nephrostomy tube placement to the client?

The tube is placed through the ureter into the renal pelvis

The tube is placed into the renal cortex to facilitate excretion

The tube is placed directly into the kidney to drain urine

The tube is placed in the ureter above the site of the blockage

300,000+ Students Use These Cheatsheets To Pass NCLEX

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Nephroblastoma

300,000+ Students Use These Cheatsheets To Pass NCLEX

What email should we send your results to?

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