During a routine nursing assessment of a small child, the nurse palpates a mass in the abdomen. Which of these actions is essential at this time?
a. Ask the parents if they had previously noted the abnormality.
b. Assess the mass site for indication of pain.
c. Continue the exam, noting the approximate size of the mass boundaries.
d. Stop palpation immediately.
D
Wilms' tumor is found in the kidney area and is the most common early childhood cancer. The infant will have an abdominal mass located on one side of the midline, abdominal pain, malaise, anemia, and fever. If a mass is felt in the abdomen, palpation should be stopped immediately, as cells can be dislodged, spreading the tumor. Surgery and chemotherapy are required.
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