What is an important priority in dealing with the child suspected of having Wilms tumor?
a. Intervening to minimize bleeding
b. Monitoring temperature for infection
c. Ensuring the abdomen is protected from palpation
d. Teaching parents how to manage the parenteral nutrition
ANS: C
Wilms tumor, or nephroblastoma, is the most common malignant renal and intraabdominal tumor of childhood. The abdomen is protected, and palpation is avoided. Careful handling and bathing are essential to prevent trauma to the tumor site. Before chemotherapy, the child is not myelosuppressed. Bleeding is not usually a risk. Infection is a concern after surgery and during chemotherapy, not before surgery. Parenteral therapy is not indicated before surgery.
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