What 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.

Question

Quizplus · Accepted Answer

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.

What Is an Appropriate Nursing Action Before Surgery When Caring