A child has been diagnosed with a Wilms' tumor; preoperative nursing care would involve
1. careful bathing and handling.
2. monitoring of behavioral status.
3. maintenance of strict isolation.
4. administration of packed
red-blood cells.
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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