A fifteen-year-old has been injured during football practice and has been taken to the hospital via ambulance. Providers have been unable to speak to parents despite several attempts to contact them. The youth needs emergency surgery, and understands the risks and benefits of the surgery. Which action is most appropriate at this time?

Have the youth give assent, and proceed with surgery.

Attempt to contact another relative.

Give pain medications until consent can be obtained.

Wait for parents to obtain consent.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the most appropriate action because it respects the youth's autonomy and maturity, and allows for timely and necessary intervention. Assent is the agreement of a minor to participate in a medical decision, and it is usually sufficient in emergency situations when parental consent is not available.

Choice B reason: This is not the most appropriate action because it may delay the surgery and put the youth at risk of further complications. Another relative may not have the legal authority to consent for the youth, and may not be reachable in time.

Choice C reason: This is not the most appropriate action because it does not address the underlying problem of the injury. Pain medications may provide temporary relief, but they may also mask the symptoms and interfere with the surgery.

Choice D reason: This is not the most appropriate action because it may jeopardize the youth's health and safety. Waiting for parents to obtain consent may result in irreversible damage or even death. The youth's best interest should be the priority in this case.

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Correct Answer is D

Explanation

Choice A reason: This is not a good intervention because it disregards the parent's and the child's religious beliefs and values. It may also imply that the nurse knows better than the parent what is best for the child.

Choice B reason: This is not a necessary intervention because it does not address the immediate issue of the child's nutrition. It may also suggest that the nurse thinks the parent needs spiritual guidance or counseling.

Choice C reason: This is not a respectful intervention because it violates the parent's and the child's right to follow their dietary rules. It may also cause the parent and the child to feel guilty or conflicted.

Choice D reason: This is the best intervention because it honors the parent's and the child's preferences and practices. It also ensures that the child receives adequate and appropriate nutrition.

A. Diabetes is a very serious illness. It may be necessary for you to consume foods that you are unaccustomed to eating. B. To be able to provide you with the best information about dietary needs, I need to ask whether you follow a vegan diet. C. I understand that you do not usually eat fruit, but because you are diabetic, it will be essential for you to eat fruit. D. It is very important for you to eat protein at each meal. Meat is an excellent source of protein.

Correct Answer is B

Explanation

Choice A reason: This is not appropriate because it implies that the child's current diet is inadequate or incompatible with diabetes management. It may also offend the parents and the child by disregarding their cultural and religious preferences.

Choice B reason: This is appropriate because it shows respect and sensitivity for the child's and the parents' dietary choices. It also helps the nurse to tailor the dietary education and advice according to the child's needs and preferences.

Choice C reason: This is not appropriate because it contradicts the child's and the parents' beliefs and practices. Hindus consider fruit to be sacred and offer it to their gods. They do not eat fruit after it has been offered, as it is considered prasad, or blessed food.

Choice D reason: This is not appropriate because it assumes that meat is the only or the best source of protein. It may also violate the child's and the parents' ethical or religious values, as some Hindus avoid meat or certain types of meat.

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Naxlex Comprehensive Predictor Exams

The father of a hospitalized child tells the nurse, "He can't have meat. We are Buddhist and vegetarians." The nurse's best intervention is to:

Correct Answer is D

Explanation

A 10-year-old Hindu child who has just been diagnosed with diabetes is admitted to the pediatric clinical unit. The nurse is counseling the parents and child regarding the child's dietary needs. Which of the following statements by the nurse would be appropriate?

Correct Answer is B

Explanation

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