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 C
Explanation
A. Temperature: A temperature of 38.6°C (101.5°F) is elevated, but fever is a common symptom of bacterial pneumonia. It is important to monitor, but it is not the most critical finding in this case.
B. Skin condition: Hives and flushing could be signs of an allergic reaction to medication, but this is not immediately life-threatening. The nurse should report it, but the priority in this case is the oxygen saturation, which reflects the patient's respiratory status.
C. Oxygen saturation: Oxygen saturation of 93% is below the typical threshold of 95-100% and indicates mild hypoxemia. In a patient with bacterial pneumonia, low oxygen saturation signify worsening respiratory function. This requires immediate attention and reporting.
D. Lung sounds: Coarse crackles in the right lower lobe are expected in pneumonia due to lung consolidation. While it is important to monitor lung sounds, the priority is addressing the oxygen saturation level, which is directly related to the patient's ability to breathe effectively.
Correct Answer is A
Explanation
A. “I will monitor the circulation in my baby's toes.” It is important to monitor the circulation in the toes of a child with serial casts, as the cast could cause pressure and affect blood flow. Checking for signs of poor circulation, such as color changes, temperature changes, or swelling, is crucial to ensure the cast is not too tight.
B. “I will give my baby ibuprofen for excessive crying.” Ibuprofen is not recommended for infants under 6 months of age, excessive crying should be evaluated to determine its cause. Administering ibuprofen without understanding the underlying issue could be inappropriate.
C. “My baby will need a calcium supplement with feedings.” Calcium supplements are not required for infants with clubfoot unless there is a specific indication, such as a dietary deficiency or underlying condition. Calcium is usually obtained through breast milk or formula.
D. “My baby will need to wear the casts for 4 to 6 months.” Serial casting for clubfoot treatment typically lasts longer than 4 to 6 months, depending on the severity of the condition and the child's response to treatment.
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