A 6-year-old child with a history of epilepsy is admitted to the pediatric unit following a breakthrough generalized tonic-clonic seizure at home.
Which interventions should the nurse implement to ensure the child's safety? (Select all that apply.)

Choice A rationale

Nephroblastoma, also known as Wilms tumor, is the most common malignant renal tumor in young children, typically presenting between the ages of 3 and 4 years. A firm, non-tender abdominal mass, often in the right flank, is a classic finding. The association with aniridia, a congenital absence of the iris, is a known risk factor for Wilms tumor, occurring in WAGR syndrome (Wilms tumor, aniridia, genitourinary anomalies, and intellectual disability).

Choice B rationale

Neuroblastoma is a cancer that arises from immature nerve cells and can occur in various locations, most commonly the adrenal glands. While it can present with an abdominal mass, it is often associated with other symptoms such as fever, weight loss, and irritability due to catecholamine secretion. It is less specifically linked to aniridia than nephroblastoma.

Choice C rationale

Hepatoblastoma is a rare malignant tumor of the liver that typically presents in children younger than 3 years old. While it causes abdominal swelling due to a liver mass, it is not typically associated with aniridia. Palpation might reveal a mass in the upper right quadrant rather than the flank.

Choice D rationale

Hydronephrosis refers to the swelling of a kidney due to a buildup of urine. While it can cause an abdominal mass, it is often associated with urinary symptoms or pain, which are not reported in this case. Furthermore, it is not a malignancy and has no known association with aniridia.

Choice A rationale

Immersing a first-degree burn in cool tap water for at least 10 minutes helps to cool the burned tissue, reducing pain, inflammation, and the extent of tissue damage. The cool water dissipates the heat absorbed by the skin, preventing further injury to the epidermal cells and underlying tissues.

Choice B rationale

Covering a fresh burn with a dry, sterile gauze bandage is important to protect it from contamination and further injury after it has been adequately cooled. However, the immediate initial action should focus on stopping the burning process and cooling the affected area to minimize tissue damage.

Choice C rationale

Applying a topical antibiotic ointment is generally recommended for burns to prevent infection, but this is not the most appropriate initial action immediately after the burn occurs. Cooling the burn takes precedence to reduce heat damage. Antibiotic ointment is usually applied after the initial cooling and cleaning of the wound.

Choice D rationale

Applying an ice pack directly to a burn can cause further tissue damage due to vasoconstriction and potential frostbite. While cooling is beneficial, it should be done gently with cool running water or immersion in cool tap water, not with intense cold like an ice pack directly on the skin.