The nurse is caring for a child scheduled for surgery due to Wilm's tumor. Which of the following is a priority?


•It is very important that the child’s abdomen not be palpated too vigorously because this could lead to tumor rupture and the spread of "seed cells," leading to metastasis.

•These tumors metastasize rapidly as a result of the large blood supply to the kidneys and adrenal glands.

Incorrect options:

•Monitoring for bowel sounds should be included in any 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.

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