A child has been diagnosed with 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.
1
Rationale:
1. The tumor should never be palpated. Careful bathing and handling are important nursing considerations. Palpating the tumor can cause a piece of the tumor to dislodge.
2. The tumor should never be palpated. The child's behavior will not be affected by Wilms' tumor.
3. The tumor should never be palpated. The tumor does not cause excessive lowering of WBCs, so strict isolation is not usually a nursing intervention.
4. The tumor should never be palpated. The tumor does not cause excessive lowering of RBCs, so administration of packed red blood cells is not usually a nursing intervention.
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