In a pediatric surgical unit, when discussing patient-controlled analgesia (PCA) in a preoperative parental meeting, which client would be the most appropriate candidate for PCA?

An 8-year-old, postoperative spinal fusion for scoliosis.

A 6-year-old who is 72 hours post-op.

A 10-year-old who has a fractured femur and concussion.

A 16-year-old postoperative bone surgery with Down Syndrome.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. An 8-year-old is typically capable of understanding and using PCA effectively, especially after a major surgery like spinal fusion.
Choice B reason: A 6-year-old may not fully understand how to use PCA and could be at risk for under or overdosing.
Choice C reason: While a 10-year-old could use PCA, the presence of a concussion may impair their ability to use it properly.
Choice D reason: A 16-year-old with Down Syndrome may have cognitive impairments that could hinder the safe use of PCA.

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Correct Answer is D

Explanation

Choice A reason: Limiting water intake is not recommended as adequate hydration is important, especially when sick.
Choice B reason: Checking blood glucose every 8-12 hours is not frequent enough; it should be monitored more often during illness.
Choice C reason: Drinking juice every hour is not necessary and could lead to hyperglycemia if not balanced with insulin.
Choice D reason: This is the correct choice. It is crucial to continue administering insulin as prescribed to manage blood glucose levels, even if the child is not eating as much.

A. Elevated white blood count (WBC). B. Bone marrow suppression. C. T-cell mediated hypersensitivity. D. Stomatitis.

Correct Answer is B

Explanation

Choice A reason: An elevated white blood count (WBC) is not typically a side effect of chemotherapy; in fact, chemotherapy often leads to a decreased WBC count.
Choice B reason: This is the correct choice. Bone marrow suppression is a common side effect of chemotherapy, leading to a decreased production of blood cells and necessitating precautions to prevent infection.
Choice C reason: T-cell mediated hypersensitivity is not a common side effect of chemotherapy that would dictate the type of precautions needed.
Choice D reason: Stomatitis is a possible side effect of chemotherapy, but it does not primarily determine the type of precautions required as bone marrow suppression does.

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In a pediatric surgical unit, when discussing patient-controlled analgesia (PCA) in a preoperative parental meeting, which client would be the most appropriate candidate for PCA?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When managing sick days for a child with Type 1 diabetes mellitus, which of the following should be included in the teaching?

Correct Answer is D

Explanation

The nurse understands that the type of precautions needed for children receiving chemotherapy is based on which side effect of chemotherapeutic medications?

Correct Answer is B

Explanation

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