A nurse is teaching a newly hired nurse about how family members are affected by the terminal diagnosis of a child. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

Parents are less likely to rely on hospice care services If their child has terminal illness.”

Siblings may feel as if they have lost a parent which can lead to poor mental health."

Most negative feelings regarding losing a child should diminish within a year."

Parents feel hopeful are less equipped to make decisions that limit end-of-life interventions."

Answer and Explanation

The Correct Answer is B

A. Parents are less likely to rely on hospice care services if their child has a terminal illness. – Incorrect. Many parents seek hospice services for support in end-of-life care.

B. Siblings may feel as if they have lost a parent, which can lead to poor mental health. – Correct. Siblings often experience emotional distress due to the shift in parental attention.

C. Most negative feelings regarding losing a child should diminish within a year. – Incorrect. Grief is an ongoing process that does not have a set timeline.

D. Parents who feel hopeful are less equipped to make decisions that limit end-of-life interventions. – Incorrect. Hope can coexist with informed decision-making.

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Correct Answer is D

Explanation

A. Place the child on a no-salt-added diet. – Important but not the priority. Sodium restriction helps control fluid retention, but monitoring fluid balance is more critical.

B. Educate the parents about potential complications. – Important but not the first action. Early detection of complications through monitoring is more urgent.

C. Maintain a saline-lock for possible medications. – Useful but not the highest priority. Monitoring for fluid overload takes precedence.

D. Check the child’s daily weight. – Correct. Daily weight monitoring is the most effective way to assess fluid retention and worsening kidney function in acute glomerulonephritis.

A. Measure abdominal girth B. Teach the child deep breathing exercises C. Assess the child's bowel function with characteristics of stool D. Administer isotonic enema to evacuate bowel E. Administer an antibiotic as per order F. Restrict the child's fluid intake G. Assess vomiting

Correct Answer is ["A","C","E","G"]

Explanation

A. Measure abdominal girth – Correct. Measuring abdominal girth helps monitor for signs of obstruction, which is common in Hirschsprung’s disease due to the absence of ganglion cells in the colon.

B. Teach the child deep breathing exercises – Incorrect. Deep breathing exercises are not typically taught to infants or young children undergoing surgery for Hirschsprung’s disease.

C. Assess the child's bowel function with characteristics of stool – Correct. Assessing stool patterns is important since Hirschsprung’s disease is characterized by an absence of peristalsis in the affected bowel.

D. Administer isotonic enema to evacuate bowel – Incorrect. Enemas are contraindicated in Hirschsprung’s disease as they can lead to bowel perforation.

E. Administer an antibiotic as per order – Correct. Preoperative antibiotics are given to prevent infection.

F. Restrict the child's fluid intake – Incorrect. Fluid restriction is not necessary and may worsen dehydration, especially if the child has vomiting or diarrhea.

G. Assess vomiting – Correct. Vomiting can indicate worsening obstruction or enterocolitis, a serious complication of Hirschsprung’s disease.

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A nurse is teaching a newly hired nurse about how family members are affected by the terminal diagnosis of a child. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?

Correct Answer is D

Explanation

A child diagnosed with Hirschsprung's disease is scheduled for surgery. Which of the following actions should the nurse include in the preoperative care for this child? (Select All that Apply.)

Correct Answer is ["A","C","E","G"]

Explanation

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