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 finding 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.
Ans: A
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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