A nurse is caring for a child on a pediatric unit who is at the end-of-life stage. Which of the following actions should the nurse take to help the sibling cope with the child's diagnosis?
Consult the Child Life Specialist to speak with the sibling.
Discourage the sibling from talking about their feelings with the child.
Limit the amount of time the sibling spends at the hospital.
Have the sibling leave the room during the child's care.
The Correct Answer is A
A. Consult the Child Life Specialist to speak with the sibling. Child Life Specialists are trained to help children and their families cope with illness, hospitalization, and the end-of-life process. This is an appropriate and supportive action.
B. Discourage the sibling from talking about their feelings with the child. Discouraging the sibling from expressing their feelings can be harmful and inhibit healthy emotional processing. Open communication should be encouraged.
C. Limit the amount of time the sibling spends at the hospital. Limiting time at the hospital might make the sibling feel excluded or increase feelings of fear and anxiety. Involvement and presence can be beneficial for coping.
D. Have the sibling leave the room during the child's care. Excluding the sibling during care can increase feelings of anxiety and helplessness. Involvement in appropriate aspects of care can be helpful for the sibling's coping process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hypotension: Hypotension is not a common adverse effect of cefazolin. While severe allergic reactions can cause hypotension, it is not a typical side effect to monitor for with cefazolin specifically.
B. Stevens-Johnson syndrome: Correct. Stevens-Johnson syndrome (SJS) is a rare but serious adverse effect of many antibiotics, including cefazolin. SJS is a severe skin reaction that requires immediate medical attention.
C. Prolonged wound healing: Cefazolin is an antibiotic and would not typically cause prolonged wound healing; instead, it is used to prevent or treat infections that might impair healing.
D. Bradypnea: Bradypnea is not associated with cefazolin. Respiratory depression is not a common side effect of this antibiotic.
Correct Answer is A
Explanation
A. "I won't let them use a toy that is straddled for 2 weeks." This is a correct restriction to prevent strain on the surgical area.
B. "I can let them resume all of their physical activities." This is likely not true. Activity restrictions might be necessary for healing.
C. "I'm happy they are no longer at risk of fertility issues when they are older." While orchiopexy can improve the chance of future fertility, it's not a guarantee.
D. "They won't need any pain medications at home." Pain medication might be prescribed for post-surgical discomfort.
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