The nurse has reviewed the Nurses Notes and Vital Signs from Day 2 at 0730

The nurse is reinforcing discharge teaching with the client.

Select the 3 client statements that indicate the teaching was effective.

A. "You should give your child captopril 200 mg PO daily.": Captopril is an antihypertensive medication and is not routinely part of Wilms' tumor management unless the child has hypertension. This instruction is not standard teaching for preoperative care.

B. "Your child will not require further treatment after removal of the tumor.": Wilms’ tumor management often involves multimodal therapy, including surgery, chemotherapy, and sometimes radiation. Telling parents that no further treatment is needed is inaccurate and could create false expectations.

C. "Your child should have surgery in 7 to 10 days to remove the tumor.": The timing of surgery depends on the tumor stage, size, and the child’s condition. Preoperative planning varies and is individualized by the provider; providing a specific timeframe without provider instruction is inappropriate.

D. "You should not palpate your child's abdomen prior to surgery.": Palpating the abdomen can risk rupturing the tumor and spreading malignant cells. Parents should be instructed to avoid abdominal palpation until the tumor is surgically removed to prevent complications.

A. "I will position my body to face an object, so I avoid twisting.": Facing the object directly keeps the spine aligned and reduces rotational stress on the back and musculoskeletal system. Avoiding twisting during lifting or reaching prevents strain injuries and supports proper body mechanics.

B. "I will position my arms away from my body when pushing an object.": Keeping the arms close to the body during pushing or lifting provides better leverage and reduces musculoskeletal strain. Extending the arms away increases the risk of shoulder and back injury.

C. "I will position my legs close together before lifting.": Maintaining a wide base of support with feet shoulder-width apart enhances stability and balance during lifting. Legs close together decrease stability and increase risk of falls or back injury.

D. "I will position objects away from my body before lifting them.": Objects should be kept close to the body during lifting to reduce leverage forces on the spine. Holding objects away increases torque on the back and risk of musculoskeletal injury.