NEPHROBLASTOMA QUIZ (ARASULA-ARANAS)

1. "David, age 15 months, is recovering from surgery to remove Wilms' tumor.

Which findings best indicates that the child is free from pain?
a. Decreased appetite
b. Increased heart rate
c. Decreased urine output
d. Increased interest in play
One of the most valuable clues to pain is a behavior change: A child whose pain-free
likes to play. A child in pain is less likely to consume food or fluids. An increased heart
rate may indicate increased pain; decreased urine output may signify dehydration.
2. In what stage of cancer has spread beyond the kidney area to nearby lymph
nodes or other structures within the abdomen and cannot be completely removed
by surgery?
a. Stage 3
b. Stage 1
c. Stage 4
d. Stage 5
3. "A child is diagnosed with Wilms' tumor. During assessment, the nurse in charge
expects to detect:
a. Gross hematuria
b. Dysuria
c. Nausea and vomiting
d. An abdominal mass"
The most common sign of Wilms' tumor is a painless, palpable abdominal mass,
sometimes accompanied by an increase in abdominal girth. Gross hematuria is
uncommon, although microscopic hematuria may be present. Dysuria is not
associated with Wilms' tumor. Nausea and vomiting are rare in children with
Wilms' tumor."
4. What do you call a surgical removal of kidney or excision of kidney?
a. Lobectomy
b. Nephrectomy
c. Hepatectomy
5. Give at least two drug therapies used to treat Wilms tumor.
Ans: Vincristine, Actinomycin D, Doxorubicin, Cyclophosphamide