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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You should give the child calcium supplements to treat the lead poisoning." While calcium, iron, and vitamin C can help reduce lead absorption, they do not directly treat lead poisoning. Chelation therapy is the primary treatment for high lead levels.
B. "Prevent the child from playing in areas where lead-based paint may have been used." Lead-based paint (commonly found in homes built before 1978) is a major source of lead poisoning in children. Preventing exposure by avoiding contaminated areas and addressing lead hazards is crucial in managing and preventing further poisoning.
C. "Make sure to cook and store food in lead crystal containers to avoid contamination." Lead crystal containers can leach lead into food and beverages, increasing exposure. Glass, stainless steel, or BPA-free plastic containers should be used instead.
D. "Let the child play outside often to dilute the concentration of lead in their body." Outdoor play does not lower lead levels. The body requires proper nutrition, reduced exposure, and medical treatment (such as chelation therapy) to eliminate lead safely.
Correct Answer is ["A","B","C","D"]
Explanation
A. Provide frequent and routine verbal updates with the parents. Regular updates help reduce parental anxiety and build trust between the healthcare team and the family. Keeping parents informed reassures them that their child is receiving appropriate care.
B. Encourage the parents to participate in the toddler's plan of care when appropriate. Involving parents in simple caregiving tasks (e.g., soothing the child, assisting with feedings) fosters a sense of control and connection, easing their distress.
C. Perform more frequent health care rounds on the toddler. Increased monitoring ensures early detection of respiratory complications and reassures parents that their child's condition is being closely managed.
D. Conduct interprofessional rounds at the child's bedside so the parents can be included. Including parents in bedside rounds allows them to hear updates from multiple specialists, ask questions, and feel more engaged in decision-making regarding their child's care.
E. Reinforce education to the parents on all nursing interventions to alleviate added anxiety about tasks they are unfamiliar with. While educating parents is important, overwhelming them with detailed explanations of every intervention may actually increase anxiety rather than alleviate it. Teaching should be concise and tailored to what the parents need to know at the moment.
F. Provide the parents with the nurse's personal cell phone number to contact if they have questions while they are away from the hospital. Personal phone numbers should not be given out for professional and ethical reasons. Instead, parents should be provided with the hospital unit’s contact information for any concerns.
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