Explanation
•It is important that the child’s abdomen not be palpated too vigorously, because this could lead to rupture and metastasis.
•These tumors metastasize rapidly as a result of the large blood supply to the kidneys and adrenal glands.
•Monitoring for bowel sounds should be included in the nursing assessment, but it is not a priority.
•Breathing difficulties are not normally a problem with Wilm's tumor.
•Handling the child with care should always be done.