NCLEX PN Practice Test Practice Question
A mother noticed a large abdominal mass when helping her 3-year-old child bathe. The child is taken to the physician and admitted to the hospital after an intravenous pyelogram (IVP) confirms the diagnosis of Wilms' tumor. Which nursing action is essential to include in the nursing care plan?
Correct Answer: B
Rationale: Avoiding palpating the abdomen is crucial in the case of Wilms' tumor, as this can cause the tumor to rupture, leading to potential complications such as bleeding or spread of cancer cells.
Straining all urine and saving it for analysis (Option A) is unnecessary in this context, as urine analysis does not typically inform the management of Wilms' tumor. Preparing the child for permanent dialysis (Option C) is inappropriate, as dialysis is not a standard treatment for Wilms' tumor. Helping the family understand the poor prognosis (Option D) may not be appropriate at this stage; focusing on treatment options and support is more beneficial.
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