A nurse is discussing the dying process to prepare a family for when their terminally ill child dies. Which of the following statements should the nurse include?
"A provider will explain the changes you may see in your child's body after they have died."
"Several members of the team will assist you after you child dies."
"A nurse must obtain locks of hair from the deceased child."
"Warming blankets can minimize the body changes in deceased children."
The Correct Answer is B
A. "A provider will explain the changes you may see in your child's body after they have died.": Nurses are often the primary professionals who prepare families for expected postmortem changes such as skin cooling, color changes, and cessation of breathing. Limiting this role to a provider is inaccurate and may delay timely, compassionate education.
B. "Several members of the team will assist you after your child dies.": After a child’s death, an interprofessional team—including nurses, providers, chaplains, social workers, and bereavement specialists—supports the family. This assistance includes emotional support, guidance through next steps, and honoring cultural or spiritual practices. Preparing families for this support helps reduce anxiety and feelings of isolation.
C. "A nurse must obtain locks of hair from the deceased child.": Creating keepsakes such as locks of hair is optional and should be guided by family preference and cultural considerations. It is never mandatory and should only be offered sensitively. Presenting this as a requirement may be distressing to families.
D. "Warming blankets can minimize the body changes in deceased children.": After death, physiologic changes such as cooling and mottling are expected and cannot be prevented with warming measures. Applying warming blankets may create false expectations or confusion. Comfort measures are directed toward the family rather than altering postmortem changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Apply cool water to the burn for up to 15 minutes, clean gently with mild soap daily, and manage pain with over-the-counter medications: For a superficial partial-thickness burn, immediate first aid with cool water reduces pain and limits tissue damage. Gentle daily cleansing and appropriate analgesia support healing and comfort.
B. Immediately administer IV fluids to prevent hypovolemia and monitor urine output: IV fluid resuscitation is necessary for extensive burns covering a significant body surface area, not for a minor superficial partial-thickness burn. Overhydration for a small burn is unnecessary and may cause complications.
C. Encourage sun exposure to the burn area to promote vitamin D synthesis and healing: Sun exposure can damage healing skin, increase the risk of scarring, and is contraindicated during acute burn recovery. Protection from ultraviolet light is recommended until the skin fully heals.
D. Prevent infection by keeping the burn clean and covered with a dry sterile dressing: While infection prevention is important, dry sterile dressings are typically used for deeper burns. Superficial partial-thickness burns benefit from gentle cleansing and sometimes moist or emollient dressings to promote epithelialization rather than solely dry coverage.
Correct Answer is ["A","C","E"]
Explanation
A. Fixation on certain items or topics: Children with ASD often develop intense interests or focus on specific objects or topics, which is a characteristic behavior and should be included in parental education.
B. Frequent changes in routine: Children with ASD typically struggle with changes in routine and may become distressed when routines are disrupted, so frequent changes are not characteristic and should not be encouraged.
C. Display of self-harming behaviors such as head-banging: Some children with ASD may engage in self-injurious behaviors, including head-banging or biting, particularly during times of frustration or sensory overload.
D. Spontaneous and unpredictable behaviors: Behaviors in ASD are usually repetitive or predictable rather than spontaneous; unpredictability is not a defining characteristic.
E. Adhering to a rigid routine: A strong preference for sameness and strict adherence to routines is common in children with ASD and should be recognized by caregivers.
F. Avoidance of repetitive activities: Children with ASD typically engage in repetitive behaviors such as hand-flapping, rocking, or repeating words, so avoidance of these is not typical.
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