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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Schedule the child for a follow-up blood test to monitor lead levels over the coming weeks. While ongoing monitoring is important, it is not the immediate priority in a child with extreme lead poisoning. Immediate intervention is needed to manage acute symptoms and prevent further complications.
B. Provide supportive care to manage common symptoms of nausea and pain. This is the correct first action. Severe lead poisoning can cause neurological and gastrointestinal symptoms, including abdominal pain, vomiting, and irritability. Supportive care addresses these symptoms while preparing for further interventions like chelation therapy.
C. Promote a balanced diet rich in calcium and iron to help mitigate lead absorption. Nutritional support is beneficial in mild to moderate cases, as calcium and iron reduce lead absorption, but it is not the first priority in extreme poisoning. Immediate medical treatment takes precedence.
D. Notify the health department to investigate potential lead exposure sources. Identifying the source of lead exposure is crucial for long-term prevention, but in cases of severe poisoning, immediate medical care is the priority before environmental interventions.
Correct Answer is B
Explanation
A. "Palliative care should be given separately from curative care." Palliative care can be provided alongside curative treatments to enhance comfort and quality of life. It is not limited to end-of-life care but focuses on symptom management and emotional support throughout the illness.
B. "Clinicians should participate in the discussion with the family about the child's prognosis." Open, honest, and compassionate communication between healthcare providers and families is crucial. Clinicians help families understand the prognosis, treatment options, and goals of care, ensuring informed decision-making.
C. "Parents who express hope of their child surviving are less accepting of palliative care." Parents can hope for a cure while still accepting palliative care to improve their child's comfort and quality of life. Hope and palliative care are not mutually exclusive.
D. "Palliative care should be offered once a child has less than 6 months to live." Palliative care is not limited to a specific timeframe. It can begin at diagnosis of a serious illness and continue throughout treatment, rather than being restricted to end-of-life care.
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