1. Which nursing order should be included in the plan of care for a 2-year old with an adrenal neuroblastoma?
a. Palpate abdomen for increased distention daily.
b. Weigh all diapers.
c. Limit fluids to 1000 cc/24 hours.
d. Provide a high-carbohydrate, low-protein diet.
2. Occurrence of which symptom best differentiates between mild and severe concussion?
a. Loss of consciousness
c. Unstable gait
d. Impaired speech
1. Correct answer: b.
All diapers should be weighed as part of monitoring output. The abdomen is not palpated when an adrenal tumor is present. Fluids are encouraged not limited. Diet is high calorie and high protein.
2. Correct answer: a.
Loss of consciousness does not occur with a mild concussion.