When considering palliative care for a young child with a life-threatening illness, which is an important consideration?

The family needs to understand that palliative care takes place in the home.

The family is included in the decision to shift the goals of treatment.

The decision must be made by the health professionals involved in the child's care.

The decision should not be communicated to the family because it will encourage a sense of hopelessness.

Answer and Explanation

The Correct Answer is B

A. Palliative care does not always take place in the home. It can be provided in hospitals, hospices, or other care settings based on the child’s needs.

B. Palliative care focuses on providing relief from symptoms and improving quality of life for the patient. It is essential that the family is included in the decision-making process to align care with the child’s and family’s goals, ensuring informed choices.

C. While healthcare professionals provide guidance, the decision to transition to palliative care is collaborative and includes the family, respecting their values and wishes.

D. Not communicating the option of palliative care to the family may lead to confusion and a lack of understanding. Transparent discussions are necessary to ensure that families are aware of all care options.

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Correct Answer is B

Explanation

A. Fluid intake should not be decreased; adequate hydration is important for burn patients.

B. A high-protein diet is necessary for wound healing in burn patients as protein is essential for tissue repair and immune function.

C. A lower-calorie diet is not appropriate for burn patients, who often have increased metabolic needs.

D. While carbohydrates are important for energy, protein is the primary focus for wound healing.

A. Encopresis B. Pyloric stenosis C. Hirschsprung's disease D. Enterocolitis

Correct Answer is C

Explanation

A. Encopresis refers to the inappropriate passage of stool, typically seen in children with chronic constipation. It is not associated with mechanical obstruction.

B. Pyloric stenosis involves a narrowing of the pyloric sphincter, leading to projectile vomiting rather than a mechanical obstruction of the intestines.

C. Hirschsprung's disease involves inadequate motility of part of the colon due to a lack of ganglion cells, leading to a mechanical obstruction.

D. Enterocolitis refers to inflammation of the intestines and is not a primary cause of mechanical obstruction.

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When considering palliative care for a young child with a life-threatening illness, which is an important consideration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating caregivers about dietary management for a child who has burn injuries. Which of the following recommendations should the nurse provide?

Correct Answer is B

Explanation

A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about nutritional considerations with the parents of a toddler. Which of the following statements by the parents indicates an understanding of the teaching?

A nurse is assessing a toddler who has leukemia and is receiving his first round of chemotherapy. Which of the following is the priority for the nurse to report to the provider?

A nurse is assessing an infant who has a ventricular septal defect. Which of the following should the nurse expect?

The nurse is caring for a newly-admitted infant diagnosed with "failure to thrive." The nurse begins to implement the healthcare provider prescribed orders by taking blood pressures in all four extremities. Which congenital cardiac defect does the nurse anticipate based on the prescribed order?

A nurse is providing care to an infant newly diagnosed with sickle cell anemia. The infant's parents ask the nurse to describe what sickled red blood cells are and how they affect blood flow. Which of the following statements should the nurse include in the discussion? (Select all that apply.)

The parents of a 7-year-old child bring her to the emergency department. They tell the nurse that she awoke with a tympanic temperature of 39.2 (102.2°), an extremely sore throat, drooling, and difficulty swallowing. Which of the following actions is the nurse's priority?

A nurse is providing health promotion teaching to an adolescent. Which of the following is the leading cause of death among this age group?

A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?