طفل عمره ٣ سنوات عنده كتلة في البطن اكتشفتها أمه أثناء الاستحمام، ويُشتبه بورم ويلمز. أي إجراء تمريضي مهم قبل الجراحة؟

A 3-year-old has an abdominal mass found by his mother at bath time, and Wilms tumour is suspected. Which nursing action is important before surgery?

1. Massage the abdomen to ease the child’s pain
2. Bathe the child in a tub, rubbing the abdomen well
3. Palpate the abdomen several times a day to track mass size
4. Avoid palpating the abdomen and post a warning sign on the bed

Answer: D) Avoid palpating the abdomen and post a warning sign on the bed. Palpation may rupture the tumour capsule and spread cells. A ‘do not palpate’ sign is posted and bathing is done carefully.