A nurse is teaching the parents of a school-age child about palliative care. Which of the following statements should the nurse include?

"Palliative care will begin once your child has been given 6 months left to live."

"Palliative care only addresses your child's physical and mental needs."

"Your child will have the final say in all decisions regarding palliative care."

"The primary goal of palliative care is to improve your child's quality of life."

Answer and Explanation

The Correct Answer is D

A. Palliative care can begin at any stage of a serious illness, not just when a prognosis of 6 months or less is given.

B. Palliative care addresses not only physical and mental needs but also social, emotional, and spiritual needs to improve the overall quality of life.

C. While the child's preferences are important, palliative care decisions are often made collaboratively with the family and healthcare team, rather than the child having the final say.

D. The primary goal of palliative care is to improve the quality of life for children and their families by managing symptoms and providing support.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"B"}}

Explanation

Assessment Finding	Improved	No change
Dyspnea		✅
Heart rate	✅
Blood pressure	✅
Oxygen saturation	✅
Respiratory rate	✅
Oral intake	✅
Lung sounds		✅

Rationale:

Improved:

Heart rate and blood pressure are slightly improved by 1930, likely due to the medications (furosemide, enalapril) helping manage fluid retention and blood pressure.

Oral intake has improved, but monitoring of this is critical given the recent lack of eating for several days.

No change:

Dyspnea remains unchanged, since the adolescent is still dyspneic with activity.

Lung sounds remain unchanged, indicating that there may still be some wheezing or fluid buildup in the lungs.

A. 6 months B. 10 months C. 12 months D. 8 months

Correct Answer is C

Explanation

A. Breastfeeding or formula feeding should be continued until 12 months, as breast milk or formula provides the necessary nutrients.

B. Whole milk should not be introduced at 10 months.

C. Whole milk should not be introduced until after the first year of life (12 months), as it lacks the appropriate balance of nutrients for infants and may cause digestive issues or iron deficiency before then.

D. 8 months is too early for whole milk; breast milk or formula is still the best option until 12 months.

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A nurse is teaching the parents of a school-age child about palliative care. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits The nurse reviews the client’s medical record from admission to 1930 hrs. Click to indicate whether the assessment finding has improved or not changed.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"B"}}

Explanation

A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that the transition to whole milk can occur at which of the following ages?

Correct Answer is C

Explanation

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