Which client in the pediatric intensive care unit (PICU) would most benefit from palliative care?

A child just diagnosed with Leukemia

A child with a broken arm after a motor vehicle accident

A child with recurrent asthma exacerbations

A child with third-degree burn injuries to his left leg

Answer and Explanation

The Correct Answer is A

Choice A reason: Palliative care is often beneficial for children with serious illnesses such as leukemia, where the focus is on improving quality of life and providing relief from the symptoms and stress of the illness.

Choice B reason: While a broken arm is painful, it is typically not a condition that requires palliative care, as it does not usually involve a life-threatening or chronic illness.

Choice C reason: Recurrent asthma exacerbations can be serious, but palliative care is generally reserved for more severe chronic conditions that are not well-controlled.

Choice D reason: Third-degree burns are severe and require specialized care, but palliative care is most beneficial for conditions that are chronic and life-limiting, which may not be the case with localized burn injuries.

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Correct Answer is C

Explanation

Choice A reason: While drug overdose is a concern, it is not the leading cause of death among adolescents.
Choice B reason: Water safety and drowning are important, but they do not lead in causing deaths in this age group.
Choice C reason: This is the correct choice. Motor vehicle accidents are the leading cause of death among adolescents.
Choice D reason: Depression and suicide are significant issues, but they do not surpass motor vehicle accidents as the leading cause of death.

A. Severe fatigue. B. Palpable mass on the abdomen. C. Seizures. D. Hematuria.

Correct Answer is B

Explanation

Choice A reason: Severe fatigue is a symptom that can be associated with many conditions and is not specific to Wilms tumor.
Choice B reason: This is the correct choice. A palpable abdominal mass is often the first sign of a Wilms tumor that prompts medical evaluation.
Choice C reason: Seizures are not typically associated with Wilms tumor.
Choice D reason: Hematuria can occur with Wilms tumor, but it is not as common as the presentation of an abdominal mass.

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Which client in the pediatric intensive care unit (PICU) would most benefit from palliative care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is giving a health promotion class to adolescents. The nurse will be sure to include information regarding the leading cause of death in adolescents aged 15 and up.

Correct Answer is C

Explanation

What clinical manifestation associated with a Wilms tumor is the reason most children are initially brought in to be seen by a provider?

Correct Answer is B

Explanation

A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is the most appropriate?

Which two interventions are considered supportive care for a family whose infant has died from sudden infant death syndrome (SIDS)?

Which of the following is of primary importance for a child who is admitted to the PICU for DKA (diabetic ketoacidosis)?

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?

The nurse is planning care for an infant after a cleft-lip repair. Which of the following is NOT an appropriate nursing intervention for this infant?

Which of the following best describes hypopituitarism?

When obtaining a history from the father of a 9-year-old boy with rheumatic fever, the nurse recognizes that the most significant information related to the diagnosis is:

Which of the following are mild symptoms of respiratory distress? (Select the two responses that apply)