Childhood Cancer · NCLEX Exam

A key nursing caution when palpating a child’s abdomen suspected for Wilms’ tumor is:

  1. Always press the mass to assess mobility
  2. Never palpate vigorously because risk of tumor rupture and dissemination
  3. Palpation is not needed if child is asymptomatic
  4. Surgery must be delayed until palpation confirms size
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Correct answer: Never palpate vigorously because risk of tumor rupture and dissemination

Because Wilms’ tumor may be encapsulated, palpating too vigorously can cause rupture and spread of cancer cells, thus gentle handling is required.

Difficulty: Medium Question 4 of 18

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