A nurse manager is preparing to discuss methods to help staff who care for terminally ill children cope with the stress of caring for their patients and families. Which of the following information should the nurse plan to include in the discussion? (Select All that Apply.)

Mindfulness meditation techniques

Work extended shifts

Develop professional support systems

Take sleep aids at night

Attend funeral services if desired

Answer and Explanation

Correct Answer : A,C,E

A. Mindfulness meditation techniques are effective strategies for managing stress and improving emotional well-being. These techniques help staff process their feelings and reduce anxiety, allowing for better coping with the emotional demands of caring for terminally ill children.

B. Work extended shifts is not recommended. Long shifts without adequate breaks contribute to burnout and fatigue, which can impair the ability to provide quality care and negatively affect staff well-being.

C. Develop professional support systems is critical. Building a support network with peers, supervisors, or mental health professionals can help staff process difficult emotions and prevent burnout.

D. Take sleep aids at night is not an ideal solution. While sleep is essential for stress management, reliance on sleep aids can lead to dependency and does not address the underlying stress or emotional challenges. Healthy sleep hygiene practices are more beneficial in the long term.

E. Attend funeral services if desired can be a meaningful way for staff to express their grief and provide closure. It also offers an opportunity for emotional support, which is crucial in maintaining emotional health after working with terminally ill children.

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Correct Answer is B

Explanation

A. Hematuria (blood in the urine) can occur in some conditions, but it is not a primary complication of hemophilia. Hemophilia more commonly leads to bleeding into joints and muscles rather than the urinary tract.

B. Hemarthrosis (bleeding into the joints) is a common complication of hemophilia. It occurs due to the lack of clotting factors, which prevents normal blood clotting and allows bleeding into joints, causing pain, swelling, and long-term joint damage.

C. Hemoptysis (coughing up blood) is not a typical complication of hemophilia, though it can occur in various respiratory conditions, such as infections or lung issues.

D. Hematemesis (vomiting blood) is a serious condition but is not commonly associated with hemophilia. Hemophilia's major complications are related to joint and muscle bleeding.

A. Alteration in pupil size and reactivity and increased motor response B. Extension or flexion posturing and weight gain C. Tachycardia and alteration in pupil size and reactivity D. Cheyne-Stokes respirations and alteration in pupil size

Correct Answer is D

Explanation

A. While alterations in pupil size and reactivity are signs of increased ICP, increased motor response is not a late sign and typically reflects an early sign of brain dysfunction.

B. Extension or flexion posturing may occur with increased ICP, but weight gain is not a sign of ICP.

C. Tachycardia can occur early in ICP, but it does not typically present as a late sign. Altered pupil size and reactivity may occur, but these are not exclusive to late ICP signs.

D. This is the correct answer. Cheyne-Stokes respirations, which are characterized by alternating periods of apnea and deep breathing, are a late sign of increased ICP in infants. Additionally, changes in pupil size (such as dilated or non-reactive pupils) are a late indicator of increasing intracranial pressure.

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A nurse manager is preparing to discuss methods to help staff who care for terminally ill children cope with the stress of caring for their patients and families. Which of the following information should the nurse plan to include in the discussion? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a complication of hemophilia?

Correct Answer is B

Explanation

The nurse is monitoring an infant for signs of increased intracranial pressure (ICP). Which are late signs of increased intracranial pressure (ICP) in an infant?

Correct Answer is D

Explanation

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