A nurse is caring for a school-age child who has metastatic osteosarcoma. While the parents are away, the child is crying and asks the nurse if she is going to die. Which of the following is an appropriate response by the nurse?

"Let's talk about what activities you are going to participate in tomorrow."

"This is something you should discuss with your parents when they return."

"You need to focus on getting better instead of what may or may not happen."

"Let's talk about it. Tell me more about what you are thinking."

Answer and Explanation

The Correct Answer is D

A.   Avoids the child's question and deflects to a future topic.
B.   Defers the conversation and may not address the child's immediate concerns.
C.   Minimizes the child's feelings and concerns about the future.
D.   Encourages open communication and allows the child to express feelings and fears.

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Correct Answer is A

Explanation

A. Lactated Ringer’s is the preferred fluid for fluid resuscitation in the first 24 hours after a burn injury as it helps replace lost fluids and electrolytes.
B. Dextrose 5% in water is not the primary fluid for burn resuscitation.
C. 0.9% sodium chloride may be used, but Lactated Ringer’s is often preferred.
D. Dextrose 5% in 0.9% sodium chloride is not the primary fluid for burn resuscitation.

A. Otorhinolaryngologist B. Physical therapist C. Occupational therapist D. Dentist

Correct Answer is D

Explanation

A. Deals with ear, nose, and throat issues but may not be the primary provider for temporomandibular joint (TMJ) disorders.
B. Can be involved in the management of TMJ disorders, but the primary provider for initial assessment and diagnosis would likely be a dentist.
C. While they may be involved in the rehabilitation process, the dentist is typically the primary provider for TMJ issues.
D. Specializes in oral health and would be the appropriate provider to assess and manage TMJ disorders.

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A nurse is caring for a school-age child who has metastatic osteosarcoma. While the parents are away, the child is crying and asks the nurse if she is going to die. Which of the following is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring the fluid replacement of a client who has sustained burns. Which of the following fluids should the nurse use in the first 24 hr following a client’s burn injury?

Correct Answer is A

Explanation

While examining a client's temporomandibular joint, a nurse identifies pain, crepitus, and a popping sound. Because of these findings, to which of the following providers should the nurse request a referral for the client?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who takes diazepam. Which of the following information should the nurse the nurse include?

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A nurse is collecting data on a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?

A nurse is assisting in the plan of care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

A nurse working in an assisted living facility has been made aware that a chemical disaster has occurred within the community and is a threat to the facility. Which of the following actions should the nurse take? (select all that apply)

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