A four-year-old patient has been diagnosed with leukemia. The patient's parents, who follow the Jehovah's Witness faith, inform the physician that they will not approve any type of blood transfusions. The pediatric nurse is aware that:

The patient can only receive blood that has been donated by family members.

Under no circumstances will the patient receive blood products.

In an emergency, a court order can be obtained for the patient to receive blood transfusions.

The patient can receive volume expanders.

Answer and Explanation

The Correct Answer is C

The correct answer is: c. In an emergency, a court order can be obtained for the patient to receive blood transfusions.

Choice A: The patient can only receive blood that has been donated by family members.

Jehovah’s Witnesses refuse blood transfusions, including those from family members, due to their religious beliefs. They believe that both the Old and New Testaments command them to abstain from blood (Genesis 9:4; Leviticus 17:10; Deuteronomy 12:23; Acts 15:28, 29). Therefore, this option is incorrect.

Choice B: Under no circumstances will the patient receive blood products.

While Jehovah’s Witnesses generally refuse blood transfusions, there are exceptional circumstances where medical professionals can seek a court order to administer blood transfusions, especially in life-threatening situations involving minors. Thus, this statement is not entirely accurate.

Choice C: In an emergency, a court order can be obtained for the patient to receive blood transfusions.

In life-threatening emergencies, especially involving minors, courts can intervene and issue orders to administer necessary medical treatments, including blood transfusions, despite parental objections based on religious beliefs. This ensures the child’s right to life and health is protected. Therefore, this is the correct answer.

Choice D: The patient can receive volume expanders.

Volume expanders can be used to increase blood volume and maintain circulation, but they do not carry oxygen or replace lost blood cells. While they are an option for managing blood loss, they are not a substitute for blood transfusions in severe cases of anemia or blood loss, which are common in leukemia patients. Thus, this option is not entirely correct.

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Correct Answer is C

Explanation

Choice A reason: Feeding the toddler is a basic need and should be ensured, but it does not specifically address developmental appropriateness or encourage independence.

Choice B reason: Dressing the toddler is also a basic need, but it does not actively involve the toddler in the process, which is important for development.

Choice C reason: Offering the toddler a choice of clothing allows the child to make decisions, fostering a sense of autonomy and contributing to developmental milestones.

Choice D reason: Asking the toddler if he would like to take his medicine is important for involving the child in their care; however, it does not offer the same level of developmental engagement as making choices about personal preferences like clothing.

A. "Treatment needs to be started as soon as possible." B. "I realize my infant will require follow-up care until he reaches skeletal maturity." C. "I need to bring my infant to the clinic every 1-2 weeks for new casts." D. "A spica cast will stay in place for 8-10 weeks."

Correct Answer is D

Explanation

Choice A reason: This statement is correct; early treatment for clubfoot is essential for the best outcomes.

Choice B reason: The parent's understanding of the need for long-term follow-up care until skeletal maturity is accurate.

Choice C reason: Regular visits for new casts are part of the standard treatment protocol for clubfoot.

Choice D reason: This statement indicates a misunderstanding. Clubfoot treatment typically involves a series of casts changed more frequently than 8-10 weeks apart, not a single spica cast for that duration. Further teaching is needed to correct this misconception.

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A four-year-old patient has been diagnosed with leukemia. The patient's parents, who follow the Jehovah's Witness faith, inform the physician that they will not approve any type of blood transfusions. The pediatric nurse is aware that:

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Naxlex Comprehensive Predictor Exams

Which nursing intervention is most developmentally appropriate for a toddler with a birth injury of a torn brachial plexus that resulted in muscle atrophy and weakness of the right arm?

Correct Answer is C

Explanation

Which statement by the parent indicates a need for further teaching regarding clubfoot?

Correct Answer is D

Explanation

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