You are the nurse assigned to work with a child on the pediatric unit who has a diagnosis of Wilm's tumor. You will need to advise personnel of which of the following things?

Rationale: A. The child's fluid and salt intake will be restricted until after surgery: Fluid and salt restrictions are not standard for Wilm’s tumor unless the child has concurrent kidney failure or hypertension. Most children maintain normal fluid and electrolyte management. B. The child's abdomen is not to be palpated, and handling must be gentle: Wilm’s tumor is a kidney tumor that is often encapsulated. Palpation of the abdomen can risk rupturing the tumor capsule, which could lead to tumor seeding in the abdominal cavity and worsening prognosis. C. Touching or holding the child requires the person to don a gown and mask: Gowns and masks are used for infection control in cases of contagious illness or in immunocompromised patients, not for the presence of a tumor. D. Blood pressure readings are not to be taken on the left arm: Blood pressure restrictions on a specific arm are usually related to vascular access devices (like PICC lines) or conditions involving circulation in that arm. Wilm’s tumor does not require avoidance of BP measurements on a particular arm unless there is a separate vascular concern.