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.
1
Rationale:
1. Careful bathing and handling are an important nursing consideration to prevent pressure on the tumor.
2. The child's behavior will not be affected with a Wilms' tumor.
3. The tumor does not cause excessive lowering of WBCs, so strict isolation is not necessary.
4. 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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