The nurse is speaking to an adolescent client with osteosarcoma and who is scheduled for a surgical procedure of a left leg amputation In 2 days. The nurse's approach should include which action?

Encouraging the client to express feelings and concerns about the upcoming procedure.

Encouraging the client to resume normal physical activities immediately after surgery.

Assisting the adolescent in accepting the procedure as better than a long course of chemotherapy

Avoiding the topic of the procedure to prevent causing distress to the client.

Answer and Explanation

The Correct Answer is A

A.   The nurse should encourage open communication and allow the adolescent to express their emotions about the amputation. This provides emotional support and helps the child process the upcoming surgery.
B.   Encouraging immediate return to physical activities may not be realistic or helpful right after surgery.
C.   Assisting the adolescent in accepting the procedure as a better alternative to chemotherapy may minimize the emotional aspects of the situation and is not an ideal approach.
D.   Avoiding the topic of the procedure can increase anxiety and delay the emotional preparation needed for the surgery.

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Correct Answer is ["B","C","E"]

Explanation

A. Clear bilateral breath sounds are not typical in PDA; instead, crackles or signs of respiratory distress may be present.
B. Dyspnea (difficulty breathing) is common due to the increased pulmonary blood flow from the PDA.
C. A machine-like murmur heard at the right upper sternal border is characteristic of PDA.
D. Cyanosis is typically not present in isolated PDA unless the PDA is large and leads to right-to-left shunting.
E. Difficulty feeding is a common symptom because the newborn may tire easily due to inefficient circulation and increased work of breathing.

A. Assess the client's ability to use crutches B. Assess the client's body image C. Assess for worsening pain in the affected limb D. Assess range of motion of the knee and hip

Correct Answer is C

Explanation

A. This is important for mobility, but after casting, the priority is to monitor for complications such as compartment syndrome, which can be life-threatening if not addressed.
B. While body image and emotional well-being are important, the priority immediately following a fracture and cast placement is physical monitoring for complications.
C. Worsening pain after a fracture or cast placement may indicate complications such as compartment syndrome, a medical emergency that requires prompt intervention. Monitoring for signs of increased pain is crucial.
D. Range of motion is a later consideration after ensuring the child does not have complications such as compartment syndrome. The priority is evaluating the affected limb for issues like worsening pain or signs of nerve damage.

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The nurse is speaking to an adolescent client with osteosarcoma and who is scheduled for a surgical procedure of a left leg amputation In 2 days. The nurse's approach should include which action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a newborn with suspected Patent Ductus Arteriosus (PDA). What signs and symptoms should the nurse expect to find when assessing the newborn? (Select All That Apply).

Correct Answer is ["B","C","E"]

Explanation

A nurse is caring for a 13-year-old with a tibia, fibula fracture, what is the priority assessment after a cast has been applied?

Correct Answer is C

Explanation

A Nurse is caring for a child with Slipped Capital Femoral Epiphysis (SCFE). Which interventions should be prioritized for a child with SCFE? SELECT ALL THAT APPLY.

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