A nurse is caring for an adolescent client who has a terminal illness. Which of the following statements should the nurse make to the parent?
"I will administer pain medication on a schedule."
"I will limit visits from siblings who are under the age of 18."
"You should go home when your child needs to rest."
"You should allow your child to die at home."
The Correct Answer is A
Rationale:
A) Providing pain medication on a schedule helps maintain comfort and manage pain effectively in a terminally ill adolescent.
B) Limiting visits from siblings may not be necessary unless the adolescent prefers limited visitors or the siblings are unwell.
C) The parent's presence should be based on their preferences and the adolescent's needs, rather than leaving solely when the child needs to rest.
D) The decision to allow the child to die at home should be based on the family's preferences, the adolescent's wishes, and the availability of appropriate support and resources.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A) Morning stiffness in the joints is a common symptom of juvenile idiopathic arthritis and is expected in this client population. It does not require immediate reporting to the provider.
B) Taking a multivitamin containing iron is generally not concerning and may even be beneficial for clients with arthritis who may have dietary deficiencies. It does not require immediate reporting to the provider.
C) The presence of blood in the stool may indicate gastrointestinal bleeding, a potential adverse effect of long-term ibuprofen use. This symptom should be reported to the provider promptly for further evaluation.
D) Skipping ibuprofen doses occasionally, particularly if the client missed one dose, may not be concerning unless it becomes a pattern of non-compliance. It does not require immediate reporting to the provider, although it should be addressed during routine follow-up.
Correct Answer is C
Explanation
Rationale:
A) Rubbing betadine on the infant's incisions is not typically done after surgical repair of a cleft lip and palate, as it can cause irritation and delay wound healing.
B) Placing the infant in a prone position for an extended period is not recommended after cleft lip and palate repair surgery, as it may increase the risk of airway obstruction and compromise wound healing.
C) Weighing the infant daily using the same scale helps monitor for changes in fluid status and overall health status following surgery.
D) Suctioning the infant's nose and mouth may be necessary to maintain airway patency, but it should be done judiciously to avoid trauma to the surgical site.
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