The nurse and a new nurse (graduate nurse) are caring for a child who will require palliative care. Which statement made by the new nurse would indicate a correct understanding of palliative care?

"Palliative care serves to hasten death and make the process easier for the family."

"Palliative care provides pain and symptom management and best quality of life for the child."

"The goal of palliative care is to place the child in a hospice setting at the end of life."

"The goal of palliative care is to act as the liaison between the family, child, and other health care professionals."

Answer and Explanation

The Correct Answer is B

A. Palliative care serves to hasten death and make the process easier for the family is an incorrect statement. Palliative care is focused on providing relief from symptoms and improving the quality of life, not hastening death.

B. Palliative care provides pain and symptom management and best quality of life for the child is the correct understanding of palliative care. It focuses on managing symptoms and providing support to improve quality of life, regardless of the child’s age or stage of illness.

C. The goal of palliative care is to place the child in a hospice setting at the end of life is not entirely correct. Palliative care can be provided at any stage of a serious illness, not just at the end of life, and it does not automatically mean placement in hospice.

D. The goal of palliative care is to act as the liaison between the family, child, and other health care professionals is a supportive role, but it does not fully define the scope of palliative care, which is focused on symptom management and improving quality of life.

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Correct Answer is B

Explanation

A. "We will avoid giving our child any dairy products during an exacerbation." Avoiding dairy products during a Crohn's disease exacerbation is often recommended because many individuals with Crohn's disease are lactose intolerant, and dairy can exacerbate symptoms such as diarrhea.

B. "We will make sure our child eats plenty of fruits and vegetables during an exacerbation." During an exacerbation of Crohn's disease, a high-fiber diet (including many fruits and vegetables) can be problematic, as it may irritate the intestines and worsen symptoms. This statement indicates a need for further teaching.

C. "We will increase our child's intake of high-fiber foods, such as whole grains and legumes." High-fiber foods should generally be avoided during a Crohn's disease flare-up because they can be difficult to digest and may worsen symptoms. However, this advice might be appropriate during periods of remission.

D. "We will encourage our child to drink plenty of fluids, especially water." Hydration is important, particularly during exacerbations, when the risk of dehydration increases due to diarrhea. This is a correct statement.

A. "My baby's formula can be thickened with oatmeal." B. "I will keep my baby in an upright position after feedings." C. "I will have to feed my baby formula rather than breast milk." D. "I should position my baby side-lying during sleep."

Correct Answer is B

Explanation

A. "My baby's formula can be thickened with oatmeal." While some infants with reflux may benefit from thickening their formula, oatmeal is not typically recommended as a thickening agent. Parents should follow specific medical guidance on safe thickening agents for formula.

B. "I will keep my baby in an upright position after feedings." This statement demonstrates an understanding of appropriate management of gastroesophageal reflux (GER). Keeping the baby upright after feeding helps prevent the backflow of stomach contents into the esophagus, reducing reflux symptoms.

C. "I will have to feed my baby formula rather than breast milk." This statement is incorrect. Breast milk is not contraindicated for infants with GER, and in fact, breast milk may be easier to digest and may help reduce reflux symptoms compared to formula.

D. "I should position my baby side-lying during sleep." This statement is not recommended. Babies should be placed on their back for sleep, as side-lying positions can increase the risk of sudden infant death syndrome (SIDS). The back sleep position is safest for all infants, including those with reflux.

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The nurse and a new nurse (graduate nurse) are caring for a child who will require palliative care. Which statement made by the new nurse would indicate a correct understanding of palliative care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing teaching to the parents of a school-aged child newly diagnosed with Crohn's disease about dietary measures to implement during an exacerbation. Which statement made by the parents indicates a need for further instruction?

Correct Answer is B

Explanation

A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is B

Explanation

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