A nurse is caring for an adolescent client who has a terminal illness. Which of the following statements should the nurse make to the parent?
"I will administer pain medication on a schedule."
"I will limit visits from siblings who are under the age of 18."
"You should go home when your child needs to rest."
"You should allow your child to die at home."
The Correct Answer is A
Rationale:
A) Providing pain medication on a schedule helps maintain comfort and manage pain effectively in a terminally ill adolescent.
B) Limiting visits from siblings may not be necessary unless the adolescent prefers limited visitors or the siblings are unwell.
C) The parent's presence should be based on their preferences and the adolescent's needs, rather than leaving solely when the child needs to rest.
D) The decision to allow the child to die at home should be based on the family's preferences, the adolescent's wishes, and the availability of appropriate support and resources.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A) Inability to hold a bottle is typically achieved by 4-6 months, so it might indicate a developmental delay.
B) Palmar grasp is a primitive reflex typically seen in newborns, and it should be replaced by more voluntary grasping patterns by 8 months.
C) Sitting unsupported is a milestone typically achieved by 6-8 months, indicating expected growth and development at 8 months.
D) Forcing the tongue outward when touched might indicate tongue thrust reflex, which should typically disappear around 4-6 months.
Correct Answer is A
Explanation
Rationale:
A) Pertussis is spread via respiratory droplets, so droplet precautions should be initiated.
B) Contact precautions are used for diseases transmitted by direct contact with the patient or their environment, not for pertussis.
C) Airborne precautions are used for diseases transmitted by airborne particles, such as tuberculosis or measles, not for pertussis.
D) Protective precautions are not a standard precaution type; they involve protecting immunocompromised patients from acquiring infections.
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