A nurse is admitting a child who has wilms tumor - Which of the following children should the nurse identify as an appropriate roommate.

 
Collect all urine, A nurse is admitting a client a child who has leukemia. . A nurse is admitting a child who has wilms tumor

It is possible to develop a dependency on prescription medication such as painkillers and stimulants. bella and jacob fanfiction imprint. Wilms&39; tumor is a rare kidney cancer that primarily affects children. Nasal stuffiness or nosebleeds 1. Don&x27;t rush to get them off the phone. After a CT scan over the weekend and a biopsy on Monday, the diagnosis was in Ethan had cancer. At Childrens Hospital of Philadelphia (CHOP), your child will be treated by a multidisciplinary team including surgeons, oncologists, radiation oncologists and nurse practitioners, who work together to create a treatment plan specific to your child. Wilms Tumor NCLEX Review and Nursing Care Plans Wilms tumor, also known as nephroblastoma, is the most common cancer of the kidney. Increase respiratory rate d. Vertigo, pain, and hearing impairment. Gross hematuria b. 33 8. A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. A child is diagnosed with Wilms&x27; tumor. The nurse is admitting a child with a Wilms tumor Which is the initial The nurse is admitting a child with a wilms tumor SchoolWilliam Paterson University Course TitleNUR 3520 Uploaded Bykellywillpass Pages6 This previewshows page 4 - 6out of 6pages. NCLEX Daily - Nursing Questions & Review. a nurse is caring for an infant following a cleft lip and palate repair. directly in line with the ischial spines. Postrenal failure results from obstruction of urine flow. The provider prescribes an anti-streptolysin O (ASO) titer. Which nursing . I was worried to death. Published Aug 25, 2014. Which of the following actions should the nurse take A.  &0183;&32;Place the child in a left lateral position. And it may spread (metastasize) to other body tissues. Abdominal swelling b. The amylase level of a client who has acute pancreatitis usually increases within 12 to 24 hr and can remain elevated for 2 to 3 days. Gross hematuria B. Administration of packed red blood cells. Put a "no abdominal palpation" sign over the child&x27;s bed. Pneumonia killed 740 180. Wilms tumor is a kidney tumor found almost always in children. Option C Answer C is a symptom of Wilms tumor ; therefore, it is incorrect. Scribd is the world&x27;s largest social reading and publishing site. The nurse notes that the infection has not improved and learns the mother has not been caring for the child &39;s skin because it "takes too much time. The nurse should inform the adolescent that wearing sandals, open-. An adolescent who has a BP of 13282 mmHg. Chemotherapeutic agents used. The nurse is admitting a patient to the nursing unit. The nurse is conducting a staff in-service on common problems associated with myelomeningocele. Avoid abdominal palpation. The parent asks the nurse the purpose of the test. Scribd is the world&x27;s largest social reading and publishing site. Which of the following findings indicates the infant has moderate. Wilms&x27; tumor Description Malignant mixed tumor of the kidney Most common intra-abdominal tumor in children; average age at diagnosis is 2 to 4 years Usually appears on left kidney and is usually unilateral Remains encapsulated for a long time Excellent prognosis if metastasis hasn&x27;t occurred Also called nephroblastoma Pathophysiology Embryonal cancer of the kidney originates. township tale strings. small round yellow pill. In the earliest report, various canine tumors were characterized for DNA ploidy. Friendly attitude of the nurse Distance of the nurse from the child Amount of physical contact by the nurse Childs personality-anxious Vs. During the writing of this edition of Health Careers Today, the world, as we knew it in America, changed. Explanation- 1) The nurse should do a thorough assessment of the. Specific treatment for pneumonia will be determined by your child's primary care provider based on Your child's age, overall health, and medical history. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy C. You have just landed to the most confidential, trustful essay writing service to order the paper from. Careful bathing and handling b. Which of the following instructions should the nurse include in the teaching (Select all that apply. Answer C is a symptom of Hirschsprungs; therefore, it is incorrect. A nurse prepares to admit a client who is immediately postoperative following abdominal surgery. Nurse Education Today, 35(3), 450-455. Which of the following actions should the nurse take A. Obtain a specimen from the child's throat for a culture. It happens when your child&39;s immune system makes a mistake and attacks other parts of your child&39;s body, as well as the strep throat germs. A client is admitted with a tentative diagnosis of hepatitis. Whichthe child's cooperationOffer the child crushed. Which actions should the nurse include (Select all that apply (a) Conservative fluid therapy and diuretics (b) Administer antiviral and antibiotics for every cause of ARDS (C) Assess lungs hourly and suction to maintain. are diagnosed with a Wilms tumor each year. After a CT scan over the weekend and a biopsy on Monday, the diagnosis was in Ethan had cancer. The provider prescribes an anti-streptolysin O (ASO) titer. Hypotension d. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Nurses , midwives and nursing associates must act in line with the Code, whether they are providing direct care to individuals. A child is admitted with a diagnosis of Wilms&39; tumor. At Childrens Hospital of Philadelphia (CHOP), your child will be treated by a multidisciplinary team including surgeons, oncologists, radiation oncologists and nurse practitioners, who work together to create a treatment plan specific to your child. I can't even begin to tell you the amount of people that began to show up to observe my son's subsequent tests as word spread in the hospital there was a possible Wilms Tumor diagnosis. Treatment of choice A. Collect all urine, A nurse is admitting a client a child who has leukemia. What side effects your child may experience will depend on which drugs are used. 2C) with noted wheezing. SGT Cody Feeback, The Guardian, USMC, veterans, Wilms-Tumor. An icon used to represent a menu that can be toggled by interacting with this icon. A child is diagnosed with Wilms&x27; tumor. During assessment , the nurse in charge expects to detect A. In some cases, Wilms tumor is part of a group of conditions that are present at birth. the provider prescribes an anti-streptolysin O titer (ASO), the parent asks the nurse the purpose of the test 15. After securing the client's airway and initiating an IV, which of the following actions should the >nurse<b> do next. Treatment of choice A. These are called congenital syndromes. The <b>nurse<b> would anticipate that the abnormal laboratory value consistent with these manifestations is. The tumor expands the renal parenchyma, and the capsule of the kidney becomes stretched over the surface of the. The tumor has extended outside the. At Childrens Hospital of Philadelphia (CHOP), your child will be treated by a multidisciplinary team including surgeons, oncologists, radiation oncologists and nurse practitioners, who work together to create a treatment plan specific to your child. TETANUS TOXOID B. It is staffed by nurses at Dayton Children's from 800 am to 800 pm, everyday, including weekends. Chamberlain College of Nursing. Administration of packed red blood cells ANS A Careful bathing and handling are important in preventing trauma to the Wilms tumor site. At your age, a mammogram is recommended every one to two years. Of the various types of tumors reported, leiomyoma is the most frequent tumor, followed by leiomyosarcoma, carcinoid, fibroma, sarcomas, benign mesenchymal tumors, and adenocarcinomas (2). In the earliest report, various canine tumors were characterized for DNA ploidy. In the earliest report, various canine tumors were characterized for DNA ploidy. The parent asks the nurse the purpose of the test. At your age, a mammogram is recommended every one to two years. a nurse is reviewing the preoperative care plan. Please note that some processing of your personal data may not require your consent, but you have a right to object to such processing. precautions should the nurse initiatea. A nurse is providing anticipatory guidance about the accidental ingestion of a toxic substance to the parents of a toddler the.  &0183;&32;Place the child in a left lateral position. Key points about Wilms tumor. Learn more about chemotherapy brainly. A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. 48) A nurse is creating a plan of care for a preschooler who has Wilms&x27; tumor and is scheduled for surgery. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets (Unable to read) a respiratory rate of 10min. small round yellow pill. The nurse is admitting a patient to the nursing unit. The nurse is admitting a child with a Wilms tumor. A nurse is caring for a child with a suspected diagnosis of rheumatic fever. Ineffective Protection ADVERTISEMENTS Ineffective Protection Nursing Diagnosis Ineffective Protection May be related to Antineoplastic agents Radiation therapy. Serum calcium RationaleATI Pharm 16. The provider prescribes an anti-streptolysin O (ASO) titer. Call us at 833-461-0165, visit us online at MSKCC. Rationale Sandals allow air to circulate around the feet, decreasing perspiration and eliminating the medium for bacteria and fungus to grow. B. Wilms tumor, aniridia, genitourinary anomalies, and mental retardation syndrome WAGR syndrome Wilson's disease WD Xanthine dehydrogenase and aldehyde oxidase combined deficiency XDH and AOX dual deficiency X-linked cerebral adrenoleukodystrophy X-CALD X-linked adrenoleukodystrophy X-ALD Triple X syndrome XXX syndrome. If your child is scheduled to have surgery. Pneumonia is the single largest infectious cause of death in children worldwide. Which is the initial assessment finding associated with this tumor. After a CT scan over the weekend and a biopsy on Monday, the diagnosis was in Ethan had cancer. PN Nursing Care of Children Practice A STUDY GUIDE Correctly Verified 20222023 Update RAT WST 371 Quiz 2 WITH 24 QUESTIONS AND ANSWERS BEST STUDY MATERIAL NURSING NR 328 Assessment- RN Nursing Care. Oct 17, 2018 Doctors and nurses who treat children with Wilms tumors should be able to help you with any problems that come up. Vertigo, tinnitus, and hearing loss. 9 per cent of all childhood malignancies. A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. Call us at 833-461-0165, visit us online at MSKCC. Serum calcium RationaleATI Pharm 16. At CHOP, your child will be treated by a multidisciplinary team including surgeons, oncologists, radiation oncologists and nurse practitioners, who work together to create a treatment plan specific to your child. Congestive cough b. Decreased appetite b. Which of the following signs of acute chest syndrome should the nurse report to the primary care provide immediately a. After a CT scan over the weekend and a biopsy on Monday, the diagnosis was in Ethan had cancer. The nurse is conducting a staff in-service on common problems associated with myelomeningocele. The client's mother insists that the client receive treatment. There is no word for a parent who loses a child. Pediatrics Final (99100 Questions, Exams for Nursing. A nurse is admitting a child who has Wilms&x27; tumor. The nurse is admitting a child with a Wilms tumor Which is the initial The nurse is admitting a child with a wilms tumor SchoolWilliam Paterson University Course TitleNUR 3520 Uploaded Bykellywillpass Pages6 This previewshows page 4 - 6out of 6pages. The <b>client<b> <b>has<b> not voided and has become short of breath. B) Strep throat went through all the children at the day care last month. Occurs during 1st-3rd trimesters 2. H Banchs 1,2. Put a "no abdominal palpation" sign over the child&x27;s bed. Thats how awful the loss is. A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric. It accounts for 6 of all childhood cancers. Which of the following actions should the nurse take A. friday night funkin sexist. A nurse is planning care for a newly admitted schole-age child who has generalized seizure disorder. ATI PROCTORED PEDS 1. are diagnosed with a Wilms tumor each year. Wilms tumor ABHIJIT BHOYAR. Which of the following interventions should the nurse plan to include Ensure the oxygen source is functioning in the childs room A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. precautions should the nurse initiatea. golden state warriors players. During assessment, the nurse in charge expects to detect A. The provider prescribes an anti-streptolysin O (ASO) titer. 42 Multiple-choice question The nurse is supervising a student caring for the patient with a nephrostomy tube. 2. A charge. Wilms tumors are a type of kidney cancer that is most often found in young children. Which of the following actions should the nurse take A. Whichthe child's cooperationOffer the child crushed pills or an elixir, or give the optwater after administration ion of apple juice or; A nurse is caring for a client who requires droplet precautions. A nurse is assessing a child who has sickle cell anemia and is experiencing a vasoocclusive crisis. Treatment and therapy. A nurse is providing teaching to a client who has a new pancrelipase (Pancrease). WAGR syndrome refers to the presence of Wilms tumor, aniridia, genitourinary anomalies, and mental retardation. When obtaining the child&x27;s Molly, with suspected rheumatic fever, is admitted to the pediatric unit.  &0183;&32;Comprehend each item. Weight gain c. Increased urinary output ANS A The initial assessment finding with a Wilms (kidney) tumor is ab a. "Question ID","Question","Discussion","Answer" "20000242","EOD-Size of Primary Tumor--Prostate Should the size of tumor be recorded as 001 (focus) or the actual size. The parent asks the nurse the purpose of the test. DTP D. invisible theatre pdf olia super teen and a candle silver the hedgehog birthday month. ATI PROCTORED PEDS 1. Explain to the parents. Increased urinary output ANS A The initial assessment finding with a Wilms (kidney) tumor is ab a. Decrease the childs salt intake. Which of the following signs of acute chest syndrome should the nurse report to the primary care provide immediately a. Decreased appetite b. . a) provide a diet low in protein and high carbohydrates b) b) avoid fresh vegetables that are not cooked or peeled c) c) notify the doctor if the child's temperature exceeds 101 F (39C) d) d) increase the use of humidifiers throughout the house fAnswer B fresh fruits and vegetables harbor microorganisms, which can cause infections. small round yellow pill. Don&x27;t rush to get them off the phone. decreasing fluids to 1000mlday 3. The tumor is named after the German physician, Dr. Background Wilms tumor (WT) is the most common renal tumor in children, while rarely seen in adults. Which of the following signs of acute chest syndrome should the nurse report to the primary care provide immediately a. Weight gainc. Apr 03, 2017 Eng, C. Diagnostic testings. Which of the following should the nurse include in the teaching 3) Take the medication with each meal and snack. A child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. A 4-year-old child is hospitalized with a suspected diagnosis of Wilms&x27; tumor. Option C Answer C is a symptom of Wilms tumor ; therefore, it is incorrect. Hypertension c. Enter the email address you signed up with and we'll email you a reset link. Serum calcium RationaleATI Pharm 16. Increased urinary outputANS AThe initial assessment finding with a Wilms (kidney) tumor is abdominal swelling. Protect the child from injury to the encapsulated tumor. A nurse is caring for a child with a suspected diagnosis of rheumatic fever. July 17, 2017 . Fortunately, with the right treatment, it is highly treatable. Wilms&x27; tumor Description Malignant mixed tumor of the kidney Most common intra-abdominal tumor in children; average age at diagnosis is 2 to 4 years Usually appears on left kidney and is usually unilateral Remains encapsulated for a long time Excellent prognosis if metastasis hasn&x27;t occurred Also called nephroblastoma Pathophysiology Embryonal cancer of the kidney originates. He eats milk products but does not like beans. weight gain. 8 F (38. The parent asks the nurse the purpose of the test. , Sherley and Everton, Ethans dad, were admitting their son to a nearby hospital.  &0183;&32;Report this Question as Inappropriate. 3. A child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. Rheumatic fever is an autoimmune disease. in size and requires no chemotherapy. Wilms tumor is cancer that starts in the kidney cells. A nurse is admitting a client who has active tuberculosis. Congestive cough b. Which of the following action should the nurse take Put a "no abdominal palpation" sign over the child&39;s bed. reno food trucks. The study aimed at evaluating the role of initial surgery in treatment of stage II and III pediatric WT as a part of the short administration schedule as in National Wilms Tumor Study (NWTS)-4. The nurse's best response is to A. General surgery is both a core clerkship rotation and a popular advanced elective for medical students, particularly those interested in pursuing a surgical residency. Nursing Care of Children Assessment 1. FLACC - The nurse observes the child's face, legs, activity, cry, and consolability. Wilms Tumor NCLEX Review and Nursing Care Plans Wilms tumor, also known as nephroblastoma, is the most common cancer of the kidney. Available is amoxicillin suspension 400 mg5 mL. It is the most common type of renal (kidney) cancer in children, accounting for about 6 percent of all childhood cancers. A nurse is caring for a child who has sickle cell anemia. 2. The study aimed at evaluating the role of initial surgery in treatment of stage II and III pediatric WT as a part of the short administration schedule as in National Wilms Tumor Study (NWTS)-4. The client has complete. What information would be most important for the nurse to include in the child's preoperative plan of care Avoiding further abdominal palpation A 3-year-old boy has been brought to the doctor's office with symptoms of anorexia and abdominal pain. auto broly script final stand 2022. Which is a. The nurse notes that the infection has not improved and learns the mother has not been caring for the child &39;s skin because it "takes too much time. Included topics in this practice quiz for pediatric nursing are nursing care management of pediatric clients and common disorders affecting them. outback opal hunters les walsh, twinks hot porn

A child is admitted with suspected diagnosis of Wilms tumor. . A nurse is admitting a child who has wilms tumor

the childs performance in school has deteriorated. . A nurse is admitting a child who has wilms tumor da hood crash script

are diagnosed with a Wilms tumor each year. Obtain a 24 hour urine specimen from the child b. What should preoperative nursing care include a. FRACTURE TIBIA D. Volkmann ischemic contracture d. 1 cm below the ischial spines. The nurse weighs the child every morning before the child eats breakfast. Advising client to consult physician or nurse-midwife if infection is suspected. Serum calcium RationaleATI Pharm 16. The tumor is limited to kidney and is completely . 1 cm below the ischial spines. When the nurse assesses a toddler with Wilms tumor what should the nurse avoid Palpating the childs abdomen A physician orders corticosteroids for a child with systemic lupus erythrmatosus The nurse knows that the purpose of corticosteroid. are diagnosed with a Wilms tumor each year. Apr 24, 2020 If your child is diagnosed with Wilms&39; tumor, you may be referred to a doctor who specializes in treating cancer (oncologist) or a surgeon who specializes in kidney surgery (urologist). Nausea and vomiting d. TETANUS TOXOID B. It results from the failure of the bodys thermoregulatory center, the. What is the most important nursing intervention preoperatively What is Avoid abdominal palpation. The nurse should recommend an increase in protein intake for the child who has cystic fibrosis. A school nurse notes that the child has been placed on amphetamine (Adderall), not.  &0183;&32;The child with intussusception has stools that contain blood and mucus, which are described as currant jelly stools. MOST LIKELY A. Wilms&x27; tumor most often affects children ages 3 to 4 and becomes much less common after age 5. NURS 406 -Assessment Quiz 1. The nurse is caring for a client with an above-the-knee amputation (AKA). Wilms Tumor is a kidney cancer that typically occurs in young children under 9 years of age. Weight gain c. Which is the initial assessment finding associated with this tumor Multiple Choice Q20 Tags Add Quiz 7 16 Questions Quiz 8 Health Promotion of the Newborn and Family. Dysuria C.  &0183;&32;"A child is diagnosed with Wilms' tumor. 48) A nurse is creating a plan of care for a preschooler who has Wilms&x27; tumor and is scheduled for surgery. how to get out of jury duty in texas. A child who has a fractured left femur. Which of the following statements most accurately describes this stage A. usc surf team. Abdominal swelling b. Option A. The child is curious. Increased blood viscosity may occur secondary to the increased number of WBCs. The tumor has extended outside the. If your child has a fever or cold the morning of surgery at the hospital's main campus, contact the Pediatric Unit at 617-523-7900, extension 3-2462 or the 6th Floor Surgical Suites at 617-391-5900. Oct 17, 2018 Doctors and nurses who treat children with Wilms tumors should be able to help you with any problems that come up. Increase the flow rate of the intravenous fluids. Last week I attended the Safe Kids USA Conference. nys child support laws 2022; statistical physics mcqs with answers pdf; event soap api; 2002 silverado stereo upgrade; 2007 ford mustang gt california special review; furnished flats to rent in skelmersdale; Enterprise; highschool dxd male reader harem betrayed wattpad; metal stencils for wood burning uk; cricut 3d letters. Increased blood viscosity may occur secondary to the increased number of WBCs. In addition, it has also been shown that women who do not have children or have children later in life have an increased risk for both ovarian and breast cancer. Other types of cancerous tumors that are associated with hemihyperplasia are hepatoblastomas (of the liver. I just want to shake her and ask what is wrong with her. Feb 11, 2021 Main Article 4 Wilms Tumor (Nephroblastoma) Nursing Care Plans. Students who viewed this also studied Dallas County Community College NURSING 1223. Get Started. The parents of the child ask the nurse how the diagnosis is made. It is defined as an unrestricted proliferation of immature WBCs in the blood-forming tissues of the body. Child will not experience injury. a decrease in peripheral edema c. Before being diagnosed with Wilms tumor, most children do not show any signs of having cancer, and usually act and play normally. Also known as nephroblastoma, it&x27;s the most common cancer of the kidneys in children. Gross hematuria b. It is not limited to the kidney but can rarely present as an extra-renal Wilms tumor (ERWT). A nurse is admitting a client who has active tuberculosis. 14-A nurse is caring for a child who was admitted with suspected rheumatic fever. 18 months. TETANUS TOXOID B. Which of the following interventions should the nurse plan to include Ensure the oxygen source is functioning in the childs room A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Intussusception can account for as many as 25 of abdominal surgical emergencies in children younger than 5.  &0183;&32;The child with intussusception has stools that contain blood and mucus, which are described as currant jelly stools. July 17, 2017 . A nurse is caring for a 3-year-old child who was admitted with acute diarrhea and. A kidney is an organ in the body that helps to filter the blood and the production of urine. He eats milk products. Cancer starts when cells in the body begin to grow out of control. Which of the following action should the nurse take Put a "no abdominal palpation" sign over the child&39;s bed. 3. 25mg PO daily. This preview shows page 21 - 23 out of 24 pages. 1 In 5-10 per cent of patients, it may be bilateral, either synchronously or metachronously. are diagnosed with a Wilms tumor each year. Wilms tumor (also called Wilms tumor or nephroblastoma) is a type of childhood cancer that starts in the kidneys. A child who has cellulites of the right radius. performance about care of children with Wilms&39; tumor, regular clinical. For children with one Wilms&x27; tumor, the surgical team generally will. Palpate the child&x27;s abdomen to identify size of the tumor b. This Document Contains 1004 most tested questions and answers. Increased blood viscosity may result secondary to the increased number of WBCs.  &0183;&32;Report this Question as Inappropriate. Wilms tumor is cancer that starts in the kidney cells. The nurse should. The child should be able to stand on the balls of their feet when sitting on the bike. Specifically, he had Wilms tumor, the most common type of kidney cancer in children. When diagnosed, Wilms tumor is usually present in only one kidney, but there are rare cases when it occurs to.  &0183;&32;opencore dmg has been altered. Hodgkins Lymphoma NCLEX Review and Nursing Care Plans. Nurses , midwives and nursing associates must act in line with the Code, whether they are providing direct care to individuals. Which of the following outcome criteria would the nurse use Body temperature of 99&176;F or less Toes moved in active range of motion Sensation reported when soles of feet are touched. Apr 24, 2020 If your child is diagnosed with Wilms&39; tumor, you may be referred to a doctor who specializes in treating cancer (oncologist) or a surgeon who specializes in kidney surgery (urologist). a nurse is caring for an infant following a cleft lip and palate repair. 76 Tumor cell heterogeneity, comparisons of primary and metastatic tumors, and the positive predictive value of kinetic parameters in canine osteosarcomas have also been evaluated with flow cytometry. A charge. Administration of packed red blood cells ANS A Careful bathing and handling are important in preventing trauma to the Wilms tumor site. Protect the child from injury to the encapsulated tumor. Your unconditional love allowed me to be the child I was and the adult I am. Which is the initial assessment finding associated with this tumor Multiple Choice Q20 Tags Add Quiz 7 16 Questions Quiz 8 Health Promotion of the Newborn and Family.  &0183;&32;A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The amount available is 0. The nurse should recommend an increase in protein intake for the child who has cystic fibrosis. White patches on buccal mucosa. What should preoperative nursing care include a. I can't even begin to tell you the amount of people that began to show up to observe my son's subsequent tests as word spread in the hospital there was a possible Wilms Tumor diagnosis. Wilms&x27; tumor, also known as nephroblastoma, is a type of kidney cancer that primarily affects children. The tumor has extended beyond the kidney but was completely removed. Wilms tumor is also called Wilms tumor or nephroblastoma. The exam has no time limit so that you can make sense of each item at your own pace. Which of the following nursing interventions is unnecessary in the client &x27;s plan of care Measure head circumference every shift.  &0183;&32;The nurse is admitting a child with a Wilms tumor. The nurse is conducting a staff in-service on common problems associated with myelomeningocele. The tumor did not extend beyond the kidney and was completely resected. . hoa letter of intent