Which of the following clients would be appropriate for the nurse to recommend for pediatric palliative care services?
6-year-old child with acute myelocytic leukemia
5-month-old infant postoperative following a cleft lip repair
5-year-old child with cystic fibrosis
1-month-old infant with a ventricular septal defect
The Correct Answer is A
A. Pediatric palliative care services are appropriate for a 6-year-old with acute myelocytic leukemia, as the condition is serious and may benefit from symptom management and support.
B. A 5-month-old infant postoperative for cleft lip repair would typically not need palliative care unless complications arise, as this is a common procedure with expected recovery.
C. While cystic fibrosis is a serious condition, it does not automatically qualify for palliative care unless there are severe complications or end-of-life issues.
D. A 1-month-old infant with a ventricular septal defect may require specialized cardiology care but does not automatically need palliative care unless the condition is severe or life-threatening.
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Related Questions
Correct Answer is A
Explanation
A. Interdisciplinary collaboration involves working with professionals from different disciplines, such as dietitians and endocrinologists, to address various aspects of a patient’s care. This action is an example of coordinating with other specialists to develop a comprehensive care plan.
B. Advocacy refers to supporting or promoting the needs and rights of the patient, but it is not specifically about consulting other professionals.
C. Disease management involves overseeing and coordinating care to manage a specific condition but does not explicitly involve collaborating with multiple disciplines.
D. Care management encompasses planning and coordinating overall care, but the specific action of consulting with other specialists highlights the interdisciplinary collaboration aspect.
Correct Answer is B
Explanation
A. While the husband is deeply involved in the care, he may not fully know the wife’s preferences for end-of-life care.
B. The dying wife is the most reliable source of her own preferences for end-of-life care, as she can directly communicate her wishes.
C. Hospice staff can provide guidance and support but are not the primary source of the patient’s personal preferences.
D. A priest may offer spiritual guidance but does not have the authority to determine the individual’s personal end-of-life care preferences.
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