Which nursing intervention is most appropriate for a school-age child with congenital heart block who codes in the emergency department (ED), while the parents witness the resuscitation scene?

Escort the parents out of the room until the child has stabilized.

Allow one parent to sit on the bed next to the child and hold their hand during the resuscitation.

Allow them to stay in the room during the resuscitation as long as they are not disturbing the resuscitation efforts.

Ask the parents to bring additional family from the waiting room to support them in the room during the resuscitation.

Answer and Explanation

The Correct Answer is C

Choice A reason: Escorting the parents out of the room may increase their anxiety and distress, as they may want to be close to their child during such a critical time.

Choice B reason: Allowing one parent to sit on the bed may interfere with the medical team's efforts and is not typically recommended during active resuscitation.

Choice C reason: Allowing the parents to stay in the room can provide them with some comfort, knowing they are near their child, and may help in the grieving process if the outcome is unfavorable, as long as they do not interfere with the medical procedures.

Choice D reason: Bringing additional family members into the room during resuscitation can create a chaotic environment and may hinder the medical team's ability to work efficiently. It is better to have a controlled number of people in the room.

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Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Thick pulmonary secretions are a hallmark of cystic fibrosis and must be addressed in the care plan.
Choice B reason: While cystic fibrosis can affect various glands, the primary concern is the respiratory system.
Choice C reason: Elevated levels of chloride, not potassium, are found in the sweat of individuals with cystic fibrosis.
Choice D reason: Cystic fibrosis is an autosomal recessive disorder, not dominant. This is important for genetic counseling and understanding the inheritance pattern.

A. Ask the client to choose which medication is needed for the pain. B. Document the client's report of pain in the electronic medical record. C. Compare the client's pain scale rating with the prescribed dosing. D. Determine which prescription will have the quickest onset of action.

Correct Answer is D

Explanation

Choice A reason: Asking the client to choose the medication is not appropriate as the nurse should use clinical judgment to select the medication based on effectiveness and onset of action.
Choice B reason: Documentation is important but should not precede the administration of pain relief.
Choice C reason: Comparing the pain scale rating with prescribed dosing is part of pain management, but the immediate concern is to relieve the pain as quickly as possible.
Choice D reason: This is the correct choice. The nurse should determine which medication will provide the quickest relief from pain, which is the client's immediate need.

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Which nursing intervention is most appropriate for a school-age child with congenital heart block who codes in the emergency department (ED), while the parents witness the resuscitation scene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must you, as the nurse, keep in mind when developing a care plan for the child?

Correct Answer is A

Explanation

A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?

Correct Answer is D

Explanation

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