A nurse is reinforcing teaching about the dying process to prepare a family for when their terminally ill child dies. Which of the following statements should the nurse include?

“Warming blankets can minimize the body changes in deceased children."

"A nurse must obtain locks of hair from the deceased child."

"Several members of the team will assist you after you child dies."

"A provider will explain the changes you may see in your child's body after they have died."

Answer and Explanation

The Correct Answer is C

A. "Warming blankets can minimize the body changes in deceased children." After death, the body naturally cools (algor mortis), and circulation ceases, leading to skin color changes and rigidity. Warming blankets cannot prevent or reverse these postmortem changes.

B. "A nurse must obtain locks of hair from the deceased child." While some families may request a lock of hair as a keepsake, it is not a mandatory practice. The decision to keep a lock of hair is up to the family, and their consent should be obtained.

C. "Several members of the team will assist you after your child dies." Hospice staff, social workers, grief counselors, and chaplains are available to support the family emotionally and practically after their child's passing. This ensures compassionate care and bereavement support.

D. "A provider will explain the changes you may see in your child's body after they have died." Nurses often take the lead in preparing families for expected physical changes (e.g., cooling, skin color changes, loss of muscle tone). While a provider may also be involved, nurses play a key role in this discussion.

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Correct Answer is ["A","C","E"]

Explanation

A. Delayed motor development. Children with muscular dystrophy often experience delayed milestones, such as difficulty walking, running, or climbing stairs. This is due to progressive muscle weakness, which affects motor skill acquisition.

B. Lung defects. While respiratory muscle weakness can occur in later stages of muscular dystrophy, congenital lung defects are not a primary characteristic of the condition. Respiratory complications typically arise due to muscle deterioration rather than structural lung defects.

C. Scoliosis. Progressive muscle weakness leads to postural instability, increasing the risk of scoliosis (abnormal spinal curvature). This is particularly common in Duchenne muscular dystrophy (DMD) as the muscles supporting the spine weaken.

D. Insomnia. Sleep disturbances are not a primary symptom of muscular dystrophy. However, respiratory complications or discomfort in later stages may contribute to sleep issues, but insomnia is not a defining feature.

E. Muscle weakness. Progressive muscle weakness is the hallmark of muscular dystrophy. It typically starts in the proximal muscles (hips, thighs, shoulders) and worsens over time, leading to mobility challenges and loss of independence.

A. Mood changes B. Swollen knees C. Frequent falls D. Dental caries

Correct Answer is B

Explanation

A. Mood changes. While mood changes can occur due to various health conditions, they are not a direct indicator of a bleeding disorder. Bleeding disorders typically present with physical symptoms like easy bruising or joint swelling.

B. Swollen knees. Joint swelling (hemarthrosis) is a key sign of bleeding disorders such as hemophilia. In children with a bleeding disorder, even minor trauma can cause bleeding into the joints, leading to pain, stiffness, and swelling, particularly in weight-bearing joints like the knees and ankles.

C. Frequent falls. While frequent falls may result in bruising, they are not a direct indicator of a bleeding disorder. However, children with a bleeding disorder may bruise excessively or experience prolonged bleeding after minor falls.

D. Dental caries. Dental caries (tooth decay) is not a symptom of a bleeding disorder but rather results from poor oral hygiene, dietary factors, or bacterial infection. Bleeding disorders may cause prolonged bleeding after dental procedures, but they do not directly cause cavities.

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A nurse is reinforcing teaching about the dying process to prepare a family for when their terminally ill child dies. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a child who has been diagnosed with muscular dystrophy. Which of the following findings should the nurse expect? (Select All that Apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is collecting data while caring for a school-age child. Which of the following findings may indicate an undiagnosed bleeding disorder?

Correct Answer is B

Explanation

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