Which test result would the nurse least likely expect to find in a child diagnosed with Wilms' tumor?
A) CBC within normal limits
B) Urinalysis positive for blood
C) Mass on kidney
D) Elevated HVA with 24-hour urine collection
D
Response:
Levels of HVA and VMA will not be elevated with Wilms' tumor; they are elevated with neuroblastoma. CBC, BUN, and creatinine usually are within normal limits. Urinalysis may reveal hematuria or leukocytes. Renal or abdominal ultrasound would reveal a mass on the kidney.
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