The parents of a child with Wilms tumor ask the nurse why surgery is necessary before a biopsy is performed. Which information should the nurse provide?
Biopsy may rupture the encapsulated tumor and cause the cancer cells to spread.
Metal clips are surgically applied at the tumor site for exact marking for radiation.
Surgery is necessary to stage the tumor and determine metastasis to other sites.
The surgery provides a visualization of other pathology and dysfunction of the kidney.
The Correct Answer is A
Answer: A. Biopsy may rupture the encapsulated tumor and cause the cancer cells to spread.
Rationale:
A) Biopsy may rupture the encapsulated tumor and cause the cancer cells to spread:
Wilms tumor is an encapsulated tumor, and performing a biopsy could risk rupturing the capsule, leading to the dissemination of cancer cells to other parts of the body. To avoid this complication, surgery is typically performed first to remove the tumor, and histological examination is done on the excised tumor tissue.
B) Metal clips are surgically applied at the tumor site for exact marking for radiation:
Metal clips are not typically used for marking tumor sites in the context of Wilms tumor surgery. The main concern with biopsy is the risk of tumor rupture rather than marking for radiation.
C) Surgery is necessary to stage the tumor and determine metastasis to other sites:
While surgery helps in staging the tumor and assessing for metastasis, the primary reason for performing surgery before a biopsy is to avoid the risk of spreading cancer cells due to tumor rupture. Staging and assessment are secondary benefits of surgical intervention.
D) The surgery provides a visualization of other pathology and dysfunction of the kidney:
While surgery can help visualize other issues related to the kidney, the main reason for performing surgery before biopsy in the case of Wilms tumor is to prevent the risk of spreading cancer cells. The focus is on the safety of managing the tumor rather than general kidney pathology.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Infants with congenital heart defects may have difficulty with feeding due to increased effort required to breathe and feed at the same time. This can lead to poor weight gain and dehydration. Thus, it is important for the nurse to report any signs of poor feeding or oral intake to the healthcare provider. While audible heart murmur (choice A)and a high heart rate (choice B)are expected findings in infants with congenital heart defects, they do not necessarily indicate a need for immediate intervention. Weight gain of 2.2 lbs. (1 kg) in the last 48 hours (choice D)may actually be a positive finding in an infant with a congenital heart defect, but it is not as important to report as poor oral intake and suckling effort.
Correct Answer is B
Explanation
Biliary atresia is a condition that can cause jaundice in newborns and infants, and it can also lead to tea-colored urine due to the presence of bilirubin in the urine. Infants with biliary atresia require further assessment and treatment, including possible surgery, to prevent liver damage and other complications.
A. Intussusception is a condition in which a part of the intestine folds into itself, causing an obstruction, but it does not typically present with jaundice or tea-colored urine.
C. Hirschsprung's disease is a congenital condition that affects the large intestine and can cause bowel obstruction, but it also does not typically present with jaundice or tea-colored urine.
D. Huntington's disease is a genetic neurological disorder that typically does not present in infants and does not cause jaundice or tea-colored urine.
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