A child is diagnosed with Wilms’ tumor. During assessment, the nurse in charge expects to detect:<\/p>\n\n\n\n
A.
Gross hematuria<\/p>\n\n\n\n
B.
Dysuria<\/p>\n\n\n\n
C.
An abdominal mass<\/p>\n\n\n\n
D.
Nausea and Vomiting<\/p>\n\n\n\n
The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is:<\/p>\n\n\n\n C. An abdominal mass<\/strong><\/p>\n\n\n\n Explanation:<\/strong><\/p>\n\n\n\n Wilms’ tumor, also known as nephroblastoma, is a common kidney cancer in children, particularly those under the age of 5. It is essential for nurses and healthcare providers to recognize the typical signs and symptoms associated with Wilms’ tumor for early diagnosis and treatment.<\/p>\n\n\n\n 1. Abdominal Mass:<\/strong> The most characteristic finding in Wilms’ tumor is a palpable abdominal mass. This mass is often asymptomatic initially and may be detected during a routine physical examination or by the parent who notices a swelling or lump in the child’s abdomen. The tumor usually grows rapidly, and its presence can cause noticeable distention of the abdomen. The mass is often described as firm, non-tender, and well-circumscribed. The physical examination will reveal a mass that may extend from the renal area to the abdomen.<\/p>\n\n\n\n 2. Gross Hematuria:<\/strong> While hematuria (blood in the urine) can occur in some cases of Wilms’ tumor, it is less common and not the most characteristic sign. Hematuria may be present if the tumor causes bleeding within the kidney or urinary tract, but it is not a primary symptom that would lead to the initial suspicion of Wilms’ tumor.<\/p>\n\n\n\n 3. Dysuria:<\/strong> Dysuria, or painful urination, is not typically associated with Wilms’ tumor. This symptom is more commonly linked to urinary tract infections or other urological conditions rather than a kidney tumor.<\/p>\n\n\n\n 4. Nausea and Vomiting:<\/strong> These symptoms can occur in various conditions, including those affecting the gastrointestinal tract or as a result of advanced cancer. However, nausea and vomiting are not specific or primary indicators of Wilms’ tumor. They may occur due to complications or secondary effects of the tumor but are not usually the first or most indicative signs.<\/p>\n\n\n\n In summary, while symptoms like gross hematuria, dysuria, and nausea\/vomiting can be seen in some cases, the presence of an abdominal mass is the most definitive and common finding in children with Wilms’ tumor. Early detection through physical examination and appropriate imaging is crucial for prompt treatment and improved outcomes.<\/p>\n","protected":false},"excerpt":{"rendered":" A child is diagnosed with Wilms’ tumor. During assessment, the nurse in charge expects to detect: A.Gross hematuria B.Dysuria C.An abdominal mass D.Nausea and Vomiting The Correct Answer and Explanation is: The correct answer is: C. An abdominal mass Explanation: Wilms’ tumor, also known as nephroblastoma, is a common kidney cancer in children, particularly those […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137825","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137825","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137825"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137825\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137825"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137825"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137825"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}