Large, encapsulated tumor in the renal parenchyma more in the left kidney
Peak age: 1-3 yrs
Prognosis good if no metastases
Assessment:
Tumor: nontender, midline near liver
Hypertension, hematuria, anemia
Dx:
IVP reveals mass
Staging:
Stage 1: Limited to kidney
Stage 11:Tumor beyond kidney, but completely encapsulated
Stage 111:Tumor confined to abdomen
Stage 1V:metastasized to lung, liver, bone, brain
Stage V: bilateral renal involvement
Nursing management:
Do not palpate abd: avoid dissemination
Handle child carefully: bathing/giving care
Care for client with nephrectomy
Care for chemotherapy/radiation
Categories:
Nursing Management
noob