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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Feeding the toddler is a basic need and should be ensured, but it does not specifically address developmental appropriateness or encourage independence.
Choice B reason: Dressing the toddler is also a basic need, but it does not actively involve the toddler in the process, which is important for development.
Choice C reason: Offering the toddler a choice of clothing allows the child to make decisions, fostering a sense of autonomy and contributing to developmental milestones.
Choice D reason: Asking the toddler if he would like to take his medicine is important for involving the child in their care; however, it does not offer the same level of developmental engagement as making choices about personal preferences like clothing.
Correct Answer is ["A","C"]
Explanation
Choice A reason: Allowing parents to hold, touch, and rock their deceased infant can be a crucial part of the grieving process, offering a personal and intimate way to say goodbye.
Choice B reason: While understanding the cause of the incident is important, it is not considered supportive care; it is more investigative and might not provide immediate comfort to the grieving family.
Choice C reason: Providing mementos like footprints and blankets can serve as tangible memories of the infant, helping parents in their grieving and healing process.
Choice D reason: Advising parents about autopsy decisions is sensitive and should be handled with care; it is not inherently supportive as it may not align with the family's wishes or needs during their time of grief.
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