A nurse is caring for a school-age child who has metastatic osteosarcoma. While the parents are away, the child is crying and asks the nurse if she is going to die. Which of the following is an appropriate response by the nurse?

"Let's talk about what activities you are going to participate in tomorrow."

"This is something you should discuss with your parents when they return."

"You need to focus on getting better instead of what may or may not happen."

"Let's talk about it. Tell me more about what you are thinking."

Answer and Explanation

The Correct Answer is D

A.   Avoids the child's question and deflects to a future topic.
B.   Defers the conversation and may not address the child's immediate concerns.
C.   Minimizes the child's feelings and concerns about the future.
D.   Encourages open communication and allows the child to express feelings and fears.

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Correct Answer is A

Explanation

A. This is because using the same sponge repeatedly can introduce bacteria and other contaminants to the surgical site, increasing the risk of infection.
B. Cleansing the surgical site with a povidone-iodine solution is not recommended because it can cause skin irritation and allergic reactions. The nurse should use a chlorhexidine-based antiseptic solution instead, which is more effective and less toxic.
C. Shaving the client's hair near the surgical site is generally avoided, as it can increase the risk of infection. Hair removal, if needed, is often done with clippers.
D. The surgical site should be scrubbed starting at the center and moving outwards in a circular motion.

Correct Answer is ["94"]

Explanation

To answer this question, we need to use the formula: mL/hr = total volume (mL) / total time (hr). In this case, the total volume is 750 mL and the total time is 8 hr.

Plugging these values into the formula, we get: mL/hr = 750 / 8. Simplifying this fraction, we get: mL/hr = 93.75.

Since we need to round to the nearest whole number, the final answer is: mL/hr = 94. Therefore, the nurse should set the IV pump to deliver 94 mL/hr.

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A nurse is caring for a school-age child who has metastatic osteosarcoma. While the parents are away, the child is crying and asks the nurse if she is going to die. Which of the following is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with performing a skin preparation for a client who is scheduled for surgery. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["94"]

Explanation

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