A 16-year-old has been admitted to the hospital for advanced osteosarcoma with metastasis to the lungs. His prognosis is poor. He is continuing to require oxygen and needs to remain in the hospital for monitoring. The adolescent is very frustrated and states that he doesn't want to stay in the hospital and wants to be with his friends. Which of the following is the best option?
Explain to the teenager that he is lucky to receive such good care at a specialty hospital and he just needs to be patient
Arrange for the teenager to have a video conference with his teacher and ensure he has his school work available
Ask the child-life specialist to help find activities to distract the teenager
Arrange a multi-disciplinary team meeting, including the teenager and his family to discuss the situation and set goals together
The Correct Answer is D
A. Explaining to the teenager that he is lucky to receive good care does not address his emotional and social needs adequately and may minimize his feelings.
B. Arranging for a video conference with his teacher and ensuring schoolwork is available is important but does not address his desire to be with friends or his emotional needs.
C. Asking the child-life specialist to help find activities to distract the teenager can be helpful for providing emotional support but may not address his concerns about being with friends and feeling frustrated.
D. Arrange a multi-disciplinary team meeting, including the teenager and his family, to discuss the situation and set goals together.
In this challenging situation, it's important to involve the patient and their family in decision-making and goal-setting. Advanced osteosarcoma with metastasis to the lungs is a serious and potentially terminal illness. The teenager's feelings and wishes should be respected and taken into consideration. A multi-disciplinary team meeting allows for open communication, including the patient, family, healthcare providers, and specialists, to discuss the situation, the patient's preferences, and the overall care plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "That big soft spot will be covered in bone by the end of the second month" is not accurate. The closure usually occurs later than the second month.
B. "The big soft spot will close at around 24 months of age" is an overestimation of the typical closure time. It is usually closed earlier than 24 months.
C. "The big soft spot is usually closed between 12 and 18 months of age."
The anterior fontanel is the soft spot located on the baby's head, and its closure is a natural part of an infant's development. The timing of closure can vary from one child to another. However, the typical range for the closure of the anterior fontanel is between 12 and 18 months of age. This information provides a general guideline for parents while acknowledging the natural variability in child development.
D. "Babies' soft spots close at different times depending on their growth rate" is true to some extent, but providing a general range (option C) is more informative for parents.
Correct Answer is D
Explanation
A. Trientine: Trientine is a medication used to treat copper overload in conditions like Wilson's disease. It is not indicated for iron overdose or toxicity.
B. Dimercaprol: Dimercaprol, also known as BAL (British Anti-Lewisite), is a chelating agent used to treat heavy metal poisoning but is not primarily used for iron overload or toxicity.
C. Ferrous gluconate: Ferrous gluconate is an iron supplement used to treat iron-deficiency anemia by providing additional iron to the body. It is not appropriate for treating iron overdose, as it would worsen the situation.
D. Deferoxamine.
Iron overdose, also known as iron toxicity, can lead to serious complications, including cardiac dysrhythmias. Deferoxamine is a chelating agent used to remove excess iron from the body in cases of iron overload or toxicity, such as in patients with conditions like sickle cell anemia who require frequent blood transfusions. It binds to excess iron and helps excrete it from the body, reducing the risk of iron-related complications, including cardiac issues.
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