When caring for a child with Wilm's tumor, which of the following nursing interventions would be most important?

1. Place child on neutropenic precautions.
2. Monitor bowel sounds in order to detect ileus.
3. Position in the high fowler's position in order to increase lung capacity.
4. Avoid palpation of the abdomen.


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1. The child will need neutropenic precautions if radiation or chemotherapy are provided.
2. A Wilm's tumor should not cause an ileus.
3. The lungs are not affected in a child with a Wilm's tumor, so it is not the most important intervention at this time.
4. The tumor is located in the abdomen and may be harmful to the child with palpation of the abdomen.

Nursing

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