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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Diminished urine output is a later sign of hypovolemic shock and is associated with decreased perfusion to the kidneys.
B. Cold clammy skin is also a later sign of shock, indicating poor tissue perfusion.
C. Unconsciousness is a late sign of hypovolemic shock and occurs when there is significant impairment of cerebral perfusion.
D. Tachycardia is an early compensatory mechanism in response to hypovolemia, aiming to maintain cardiac output and perfusion to vital organs.
Correct Answer is B
Explanation
A. Fecal occult blood tests are typically done annually, not every 4 years.
B. Flexible sigmoidoscopy is recommended every 5 years for colorectal cancer screening.
C. This timeframe is not a standard recommendation for flexible sigmoidoscopy.
D. Fecal occult blood tests are typically done annually, not every 2 years.
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