The nurse is caring for a child with nephroblastoma. To prevent complications from this tumor, the nurse should closely monitor the client's
The nurse is caring for a child with nephroblastoma. To prevent complications from this tumor, the nurse should closely monitor the client's
A. liver function tests.
[22%]
B. capillary blood glucose.
[5%]
C. blood pressure.
[68%]
D. visual acuity.
[5%]
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Hematological/Oncological
Client Need
Test Plan
Reduction of Risk Potential
Related Topic
Potential for Complications from Surgical Procedures and Health Alterations
Item Type
Item Type
Analysis
Explanation
Choice C is correct. Nephroblastoma, also known as Wilms tumor, is a kidney tumor that primarily affects children. Hypertension may occur because of the surge in renin triggered by the tumor.
Choice A is incorrect. While nephroblastoma can metastasize to other organs, including the liver, monitoring liver function tests is not the primary focus in the prevention of complications from the tumor.
Choice B is incorrect. Nephroblastoma is not typically associated with alterations in blood glucose levels.
Choice D is incorrect. Visual acuity is not directly impacted by nephroblastoma. Monitoring visual acuity is more relevant to conditions affecting the eyes and optic nerve, which are not primary concerns in nephroblastoma.
Additional Info
✓ Nephroblastoma is a tumor affecting the kidney(s). The average age at diagnosis is three years in children with single kidney disease. It is slightly younger for those with bilateral involvement.
✓ Nephroblastoma nursing care involves
- Frequent blood pressure monitoring because this tumor may induce renin-related hypertension
- Avoiding any activities that may cause palpation of the abdomen
- Gastrointestinal monitoring as obstruction may consequently occur (absent bowel sounds, abdominal distention should be reported)
- Managing pain effectively. Nephroblastoma can cause discomfort or pain, and nurses play a crucial role in providing pain relief through appropriate interventions.
✓ Provide emotional support to both the child and the family. A diagnosis of nephroblastoma can be challenging for families, and offering psychological support is an integral part of nursing care.
