An 8-year-old boy is diagnosed with a Wilm’s tumor. The nurse would expect what finding on assessment?

  1. occult blood in the stool
  2. yellowing of the sclera
  3. vision loss
  4. enlarged abdomen
Number 4 is correct.
Rationale: Wilm’s tumor is a malignant tumor of the kidney in children. Signs and symptoms include large abdominal mass, blood in the urine, hypertension, fatigue, and nausea/vomiting. The other symptoms indicated are not known symptoms of a Wilm’s tumor.