A child is diagnosed with a Wilms tumor. Which nursing action is most appropriate prior to surgery?
1. Careful bathing and handling
2. Monitoring of behavioral status
3. Maintenance of strict isolation
4. Administration of packed red-blood cells
Correct Answer: 1
Rationale: The tumor should never be palpated; careful bathing and handling are an important nursing consideration. Palpating the tumor can cause a piece of the tumor to dislodge. The child's behavior will not be affected with a Wilms tumor. The tumor does not cause excessive lowering of WBCs or RBCs, so strict isolation or administration of packed red-blood cells is not usually a nursing intervention.
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