CCRN Critical Care Nursing

Category - Pediatrics

Michael, a toddler, was admitted at the hospital with a diagnosis of Wilm’s tumor. The nurse should be aware that:
  1. vigorous palpation of the mass must be avoided.
  2. hypertension may occur at anytime of confinement.
  3. respiratory problems should be expected and reported.
  4. disease is communicable therefore the client must be isolated.
Explanation
Answer: A - The nurse should be aware that vigorous palpation of the mass must be avoided. The abdominal mass should be carefully examined. Palpating a mass too vigorously could lead to the rupture of a large tumor into the peritoneal cavity. There are hospitals that require nurses to put signs like” DO NOT PALPATE”.
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