A child has been diagnosed with Wilms' tumor. Preoperative ...

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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.

Question 2

It is important for the nurse to understand that the levator ani is a(n)
 
  a. Imaginary line that divides the true and false pelvis
  b. Basin-shaped structure at the lower end of the spine
  c. Collection of three pairs of muscles
  d. Division of the fallopian tube

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Answer to Question 1

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.

Answer to Question 2

C
Feedback
A The linea terminalis is the imaginary line that divides the false pelvis from the
true pelvis.
B The basin-shaped structure at the lower end of the spine is the bony pelvis.
C The levator ani is a collection of three pairs of muscles that support internal
pelvic structures and resist increases in intraabdominal pressure.
D The fallopian tube divisions are the interstitial portion, isthmus, ampulla, and
infundibulum.

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TYSM

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Excellent