The nurse is supervising the assessment of a 4-year-old patient with a Wilms tumor who was brought to the emergency department for profuse vomiting. Which statement by the student nurse requires prompt intervention by the nurse?

“I have to press on your belly now; tell me if it hurts.”. Patients with Wilms tumors should have their abdomens palpated only sparingly because rupture of the tumor capsule can result in dissemination of malignant cells. It is not the best form to ask a four-year-old for permission to perform an assessment, but this can be discussed after the assessment. Patients who are told they are being assessed for breathing tend to breathe with a different rate than normal; this also can be a later coaching moment. Asking the patient how the tummy feels when he or she has to throw up is fairly benign.

The nurse is supervising the assessment of a 4-year-old patient w...

Category: Health Promotion and Maintenance
Difficulty: 9

Topics: Communication & Documentation Delegation, Prioritization and Leadership Disease Prevention Gastrointestinal Growth & Development Hematology/Oncology Patient Education

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