A nurse is assisting with the care of a child who is receiving palliative care. Which of the following actions should the nurse take?
Reinforce with the guardians to avoid discussing death with the child's siblings.
Guide discussions with the child about death.
Use a calm tone of voice when speaking with the child.
Encourage the guardians to seek a second opinion about their child's diagnosis.
The Correct Answer is C
A. Reinforce with the guardians to avoid discussing death with the child's siblings: Avoiding the discussion of death with the child's siblings can create confusion and anxiety. It's important to foster open communication and allow siblings to process their emotions about the situation in an age-appropriate manner.
B. Guide discussions with the child about death: Discussions about death should be handled delicately, considering the child’s age and understanding; this should be done in partnership with the family and healthcare providers.
C. Use a calm tone of voice when speaking with the child: A calm, reassuring tone of voice is essential when interacting with a child in palliative care. This helps provide comfort, reduces anxiety, and establishes a sense of safety for the child during a difficult time.
D. Encourage the guardians to seek a second opinion about their child's diagnosis:
Seeking a second opinion may be an option in some situations, but in the context of palliative care, the focus is typically on comfort and quality of life rather than pursuing further curative treatments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administer magnesium sulfate IM to the child: Seizures are typically managed with anticonvulsant medications or other specific treatments, but magnesium sulfate is primarily used in other conditions, such as preeclampsia in pregnant women.
B. Place a folded blanket under the child's head: Placing a folded blanket or soft material under the child's head is a safe action to prevent injury during a tonic-clonic seizure. It helps protect the head from hitting the floor or any hard surfaces during the seizure.
C. Prevent movement of the child's extremities: It is not recommended to try to prevent movement of the child's extremities during a tonic-clonic seizure. Trying to restrain or hold the child down can cause injury. The goal is to ensure the child’s safety and prevent injury.
D. Put a tongue blade between the child's teeth: Inserting a tongue blade between the child’s teeth is dangerous and should never be done. It could lead to injury, including broken teeth or damage to the child's mouth or throat.
Correct Answer is C
Explanation
A. Teeth: It is typical for infants to start getting their first teeth between 6 and 10 months. The infant in this scenario already has two lower central incisors, which is normal and does not need to be reported.
B. Weight: The infant's weight of 7.26 kg (16 lb) is within the expected range for a 6-month-old. Infants typically double their birth weight by 5 to 6 months of age, and this infant has almost reached that milestone, so the weight is not a concern.
C. Speech: By 6 months, most infants begin to make cooing sounds and may start attempting to imitate speech. That the infant makes cooing sounds but does not attempt to imitate speech is slightly concerning, as by 6 months, some infants are beginning to imitate speech sounds.
D. Temperature: The infant's temperature of 37.1°C (98.8°F) is within the normal range for an infant and does not indicate any issue. There is no need to report this finding to the provider.
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