A nurse in a hospital is assisting in the care of a toddler who has a history of congenital brain malformations. The child's family is at the bedside, including the child's 5-year-old sibling who seems distressed. Which of the following nursing interventions would be most appropriate to support the child's sibling?

Ask the parents to escort the child's sibling to the family lounge so they are not in the child's room.

Consult the child life specialist to provide age-appropriate activities and emotional support to the sibling.

Provide the sibling with coloring pages and crayons to keep them occupied in the child's room.

Offer the sibling a tour of the hospital unit to help them become more familiar with the environment.

Answer and Explanation

The Correct Answer is B

A. Ask the parents to escort the child's sibling to the family lounge so they are not in the child's room. Removing the sibling from the room does not address their distress or emotional needs. Siblings of hospitalized children may experience fear, anxiety, or feelings of exclusion, and they need support, not isolation.

B. Consult the child life specialist to provide age-appropriate activities and emotional support to the sibling. Child life specialists are trained to help children understand and cope with hospitalization through play, education, and emotional support. They can help the sibling process their emotions in an age-appropriate way.

C. Provide the sibling with coloring pages and crayons to keep them occupied in the child's room. While coloring can be a helpful distraction, it does not address the sibling’s distress or provide the emotional support they may need to understand their sibling’s condition.

D. Offer the sibling a tour of the hospital unit to help them become more familiar with the environment. A tour may help the child feel more comfortable, but it does not directly address their distress or emotions regarding their sibling’s hospitalization.

Nursing Test Bank

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Correct Answer is ["A","B"]

Explanation

A. Weight gain. Corticosteroids cause fluid retention and increased appetite, leading to significant weight gain. In a 6-year-old, this can affect self-esteem and social interactions, potentially leading to body image concerns and difficulty fitting in with peers.

B. Irritability. Mood changes, including irritability, anxiety, and mood swings, are common side effects of corticosteroids. These emotional changes can impact relationships with family and friends, affecting the child's psychosocial well-being.

C. Osteoporosis. While long-term corticosteroid use can lead to osteoporosis, it is primarily a physical concern rather than a psychosocial one. Bone health issues typically become more evident later in life rather than in early childhood.

D. Hypertension. Elevated blood pressure is a physiological side effect of corticosteroids but does not directly impact the child’s psychosocial development. It is more of a medical concern requiring monitoring rather than a factor affecting social interactions.

E. Nausea. Although nausea can cause discomfort, it does not have a significant impact on the child's psychosocial development compared to mood changes and body image issues caused by corticosteroid therapy.

A. "My child should not be involved in their treatment plan.” B. "My child is too young for medication techniques to help with pain." C. “Hospice will provide my child with spiritual and mental health care." D. "We should not discuss the possibility of death with our child."

Correct Answer is C

Explanation

A. "My child should not be involved in their treatment plan." Children, even those who are terminally ill, benefit from age-appropriate involvement in their care. Allowing them to participate in decisions when possible helps reduce anxiety and provides a sense of control.

B. "My child is too young for medication techniques to help with pain." Pain management, including medications and non-pharmacologic methods, is essential for children of all ages. Palliative care ensures comfort, regardless of age.

C. "Hospice will provide my child with spiritual and mental health care." Hospice care addresses the physical, emotional, and spiritual needs of terminally ill children and their families. Counseling, pastoral support, and grief resources are essential components of end-of-life care.

D. "We should not discuss the possibility of death with our child." Open and age-appropriate discussions about death help children understand their condition and process emotions. Avoiding the topic can lead to confusion and increased fear.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a 6-year-old client who has nephrotic syndrome. Which of the following adverse effects of corticosteroids should the nurse recognize as having the potential to impact the child's psychosocial development? (Select All that Apply.)

Correct Answer is ["A","B"]

Explanation

A nurse is reinforcing teaching to the parent of a terminally ill child about end-of-life care. Which of the following statements by the parents indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is assisting with care for an 11-year-old child who has appendicitis. For which of the following complications should the nurse anticipate assisting with collecting data for the RN assessment of the client?

A nurse is reinforcing education with a caregiver of a pediatric client about diaper dermatitis. Which of the following statements should the nurse make?

A nurse is reinforcing teaching about the role of the immune system to a client who has psoriasis. Which of the following explains the immune system dysfunction associated with psoriasis?

A nurse is reinforcing teaching to the parents of a school-age child about palliative care. Which of the following statements should the nurse make?

A nurse is caring for a newborn who may have pyloric stenosis. Which of the following manifestations should the nurse expect?

A nurse is assisting in the care of an infant diagnosed with tetralogy of Fallot. The infant's caregiver asks the nurse to explain this diagnosis. Which of the following is an accurate statement about this condition?

A school nurse is preparing to support children who have a chronic illness in a middle school setting. The nurse should be aware of which of the following challenges chronically a children may face? (Select All that Apply)