Mother brings 3-year, 3-month-old female to be assessed by the health-care practitioner Subjective Data • Child is seen

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Mother brings 3-year, 3-month-old female to be assessed by the
health-care practitioner Subjective Data • Child is seen playing
with dolls in the waiting room while pretending to give the baby a
bottle and wrapping the baby in a blanket • Mother states, •
“Everything seems fine, but I noticed that my daughter’s urine is
pink. I first saw it yesterday evening.” • “She has had a couple of
colds this year, but nothing out of the ordinary. What do you think
is going on?” Objective Data Nursing Assessment • Since birth, the
child’s well-child checks have been within normal limits, including
weight, height, and head circumferences all at the 50th percentile
• Child is up to date on all immunizations • Mass palpated in left
upper quadrant—child exhibits minimal guarding • Ultrasound results
• Presumed Wilms’ tumor noted in left kidney Health-Care Provider’s
Orders • Admit to pediatric unit • Prepare for surgery in a.m. •
NPO after midnight • Modified bedrest • Absolutely no one is to
palpate the abdomen Vital Signs Temperature: 98.8°F Heart rate: 100
bpm Respiratory rate: 26 rpm Blood pressure: 106/66 mm Hg Lab
Results Complete blood count Red blood cell count: 3.6 million/mm3
Hemoglobin: 11 g/dL Hematocrit: 33% White blood cell count:
10,000/mm3 Platelet count: 225,000/mm3 Urine: within normal limits
except Red blood cells: 10 (normal less than or equal to 2)