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. Encouraging slow deep breaths involves addressing the client's emotional and psychological well-being, reflecting a holistic approach to pain management.
B. Obtaining blood work is a medical intervention and may not address the holistic aspects of pain management.
C. Requesting a prescription for an analgesic addresses the physical aspect of pain but may not be considered holistic.
D. Checking oxygen saturation is a physiological measure and may not directly address the holistic aspects of pain management.

A. Popliteal B. Femoral C. Carotid D. Radial

Correct Answer is C

Explanation

A. Popliteal and femoral pulses are not typically used for assessing circulation to the brain.
B. Femoral pulse is not commonly used for assessing brain circulation.
C. The carotid pulse is commonly assessed to evaluate circulation to the brain, especially in emergency situations.
D. Radial pulse is more commonly used to assess peripheral circulation in the arm.

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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 caring for a client who reports chronic pain. Which of the following actions by the nurse uses holistic nursing?

Correct Answer is A

Explanation

A nurse is assisting with the care of a client who has developed cardiogenic shock. When evaluating circulation to the client’s brain, which of the following pulse sites should the nurse use?

Correct Answer is C

Explanation

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