A fifteen-year-old has been injured during football practice and has been taken to the hospital via ambulance. Providers have been unable to speak to parents despite several attempts to contact them. The youth needs emergency surgery, and understands the risks and benefits of the surgery. Which action is most appropriate at this time?

Have the youth give assent, and proceed with surgery.

Attempt to contact another relative.

Give pain medications until consent can be obtained.

Wait for parents to obtain consent.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the most appropriate action because it respects the youth's autonomy and maturity, and allows for timely and necessary intervention. Assent is the agreement of a minor to participate in a medical decision, and it is usually sufficient in emergency situations when parental consent is not available.

Choice B reason: This is not the most appropriate action because it may delay the surgery and put the youth at risk of further complications. Another relative may not have the legal authority to consent for the youth, and may not be reachable in time.

Choice C reason: This is not the most appropriate action because it does not address the underlying problem of the injury. Pain medications may provide temporary relief, but they may also mask the symptoms and interfere with the surgery.

Choice D reason: This is not the most appropriate action because it may jeopardize the youth's health and safety. Waiting for parents to obtain consent may result in irreversible damage or even death. The youth's best interest should be the priority in this case.

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Correct Answer is A

Explanation

A. Daytime attention should be increased. B. This is a common practice, especially in some cultural groups. C. It is illegal for parents to sleep with their children, and this is reportable abuse. D. Separation from parents should be completed by this age.

Correct Answer is B

Explanation

Choice A reason: This is not a valid basis for the nurse's response, as it implies that the child sleeps with the parents because of a lack of attention during the day. This may not be the case, and it may also offend the parents by questioning their parenting skills.

Choice B reason: This is a valid basis for the nurse's response, as it acknowledges the diversity and variability of family practices and preferences. It also shows respect and sensitivity for the parents' and the child's needs and comfort.

Choice C reason: This is not a valid basis for the nurse's response, as it is false and exaggerated. Sleeping with one's children is not illegal or abusive, unless there is evidence of harm or neglect. It may also alarm and anger the parents by accusing them of a crime.

Choice D reason: This is not a valid basis for the nurse's response, as it is based on a rigid and arbitrary developmental milestone. There is no fixed age for separating from parents, and it may vary depending on the child's temperament, attachment, and environment. It may also pressure and guilt the parents by implying that they are delaying their child's growth.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Parents tell the nurse that their two-year-old son often sleeps with them. They seem unconcerned about this. The nurse's response should be based on which of the following?

Correct Answer is B

Explanation

Staff members working with school-aged children believe it is important for each child to understand and agree to medical treatment, especially when treatment is part of research protocols. The term for this process is:

Which assessment indicates to a nurse that a school-age child is in need of pain medication?

Over half of all violent offenders in prison were physically or sexually abused as children.

A thirteen-year-old female is admitted for abdominal pain. Her parents state that their daughter is not sexually active. As the health care provider, you:

When obtaining a history from parents of a 4-year-old child, what indicator should prompt the nurse to consider suspected child abuse?

The mother of a 3-year-old who has been diagnosed with an ear infection states, "I can't understand why you won't give my child antibiotics. Can't you see that she is sick?" Which of the following responses by the nurse is appropriate at this time?

The nurse is assessing a child with epiglottitis in the emergency department. The child has a sore throat and is drooling. Examining the child's throat using a tongue depressor might precipitate which of the following?