Author Question: What is an important priority in dealing with the child suspected of having Wilms tumor? a. ... (Read 61 times)

folubunmi · **on:** Jun 28, 2018

What is an important priority in dealing with the child suspected of having Wilms tumor?

a. Intervening to minimize bleeding
b. Monitoring temperature for infection
c. Ensuring the abdomen is protected from palpation
d. Teaching parents how to manage the parenteral nutrition

Question 2

An adolescent is scheduled for a leg amputation in 2 days for treatment of osteosarcoma. What approach should the nurse implement?

a. Answer questions with straightforward honesty.
b. Avoid discussing the seriousness of the condition.
c. Explain that although the amputation is difficult, it will cure the cancer.
d. Help the adolescent accept the amputation as better than a long course of chemotherapy.

kingdude89 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Wilms tumor, or nephroblastoma, is the most common malignant renal and intraabdominal tumor of childhood. The abdomen is protected, and palpation is avoided. Careful handling and bathing are essential to prevent trauma to the tumor site. Before chemotherapy, the child is not myelosuppressed. Bleeding is not usually a risk. Infection is a concern after surgery and during chemotherapy, not before surgery. Parenteral therapy is not indicated before surgery.

Answer to Question 2

ANS: A
Honesty is essential to gain the child's cooperation and trust. The diagnosis of cancer should not be disguised with falsehoods. The adolescent should be prepared for the surgery so there is time for reflection about the diagnosis and subsequent treatment. This allows questions to be answered. To accept the need for radical surgery, the child must be aware of the lack of alternatives for treatment. Amputation is necessary, but it will not guarantee a cure. Chemotherapy is an integral part of the therapy with surgery. The child should be informed of the need for chemotherapy and its side effects before surgery.