Which is an appropriate nursing action before surgery when caring for a child diagnosed with a Wilms' tumor?
a. Limit fluid intake.
b. Do not palpate the abdomen.
c. Force oral fluids.
d. Palpate the abdomen every 4 hours.
B
Excessive manipulation of the tumor area can cause seeding of the tumor and spread of the malignant cells. Fluids are not routinely limited in a child with a Wilms' tumor. However, intake and output are important because of the kidney involvement. Fluids are not forced on a child with a Wilms' tumor. Normal intake for age is usually maintained. The abdomen of a child with a Wilms' tumor should never be palpated because of the danger of seeding the tumor and spreading malignant cells.
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The postpartum client has chosen to bottle-feed her infant. Nursing actions that aid in lactation suppression include:
1. Warm showers b.i.d. 2. Pumping milk t.i.d. 3. Ice packs to the axillary area of each breast q.i.d. 4. Avoiding wearing a bra for 5–7 days.
An infant is born with an esophageal atresia and tracheoesophageal fistula. Which preoperative nursing diagnosis is the priority for this infant?
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The nurse is gathering assessment data from a client who is the sole caregiver for four children. What assessment information should the nurse prioritize when providing care for this client?
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Maggie is 7 months pregnant with her first child. She is 37 years old and waited to start a family until she felt established in her career
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