An experienced nurse and a new nurse are providing preoperative care for a 5-year-old child diagnosed with Wilms’ tumor. The experienced nurse should intervene when observing the new nurse:
ExplanationWilms’ tumor (nephroblastoma) is an intrarenal abdominal tumor. Palpating the abdomen can potentially spread the cancerous cells. A 5-year-old child would typically be NPO for 2 hours prior to the procedure, although this time period can vary. Play therapy is an appropriate means for teaching the child about the surgical procedure and assisting the child to cope. When explaining the surgery and anesthesia, words that the child understands should be used.