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.

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Correct Answer is B

Explanation

A. "Your child will have the final say in all decisions regarding palliative care." While the child's preferences and wishes should be considered, decision-making typically involves collaboration between the child, parents, and healthcare team to ensure the best possible care.

B. "The primary goal of palliative care is to improve your child's quality of life." Palliative care focuses on enhancing comfort, relieving symptoms, and providing emotional, social, and spiritual support for the child and their family, regardless of disease prognosis.

C. "Palliative care only addresses your child's physical and mental needs." Palliative care is holistic, addressing not just physical and mental needs but also emotional, spiritual, and social well-being for both the child and their family.

D. "Palliative care will begin once your child has been given 6 months left to live." Palliative care is not limited to end-of-life care. It can be introduced at any stage of a serious illness, alongside curative treatments, to improve the child's overall well-being.

A. Leukocytes B. Germ cells C. Epithelial cells D. Lymphocytes

Correct Answer is B

Explanation

A. Leukocytes. Leukocytes (white blood cells) are involved in the immune response and are not the primary cells affected in testicular cancer. Cancers of leukocytes include leukemia and lymphoma, not testicular cancer.

B. Germ cells. This is correct. Testicular cancer most commonly arises from germ cells, which are the cells responsible for producing sperm. Germ cell tumors (GCTs) account for over 90% of testicular cancers, including seminomas and non-seminomas.

C. Epithelial cells. Epithelial cells line various tissues and organs, but they are not the primary source of testicular cancer. Epithelial cell cancers, like carcinomas, more commonly affect the skin, lungs, and digestive tract.

D. Lymphocytes. Lymphocytes are a type of white blood cell involved in the immune system. Testicular lymphoma can occur but is rare compared to germ cell tumors, which are the most frequent type of testicular cancer in adolescents and young adults.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is assisting in the care of an adolescent client who has been diagnosed with testicular cancer. The nurse understands that testicular cancer most often develops from mutations of which of the following types of cells?

Correct Answer is B

Explanation

A nurse is contributing a nutritional plan of care for a child. Which of the following diagnostic tests should the nurse recommend for the child?

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

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A nurse is contributing to a plan of care for a child who is 3 years of age. Which of the following developmental milestones should the nurse incorporate into the plan of care?