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

Explanation

A. "Lack of supervision is a big risk factor for burns in children." This is correct. Young children are naturally curious and have limited awareness of danger, making them more prone to thermal injuries. Inadequate supervision increases the risk of burns from hot liquids, open flames, electrical sources, and heated objects.

B. "Microwaved food should sit for 30 seconds before giving to the child." While allowing food to cool is helpful, 30 seconds may not be enough time to reduce the risk of burns. Additionally, caregivers should stir microwaved food thoroughly to distribute heat evenly and test the temperature before feeding the child.

C. "Young children should be kept indoors at all times to prevent sunburns." This is unrealistic and unnecessary. Instead, caregivers should use protective measures such as sunscreen, hats, protective clothing, and shade to prevent sunburn while allowing outdoor activities.

D. "The water heater should be set at 130 degrees Fahrenheit or less." This is incorrect. The recommended maximum water heater temperature is 120°F (49°C) to prevent scald burns. Water at 130°F can cause serious burns within seconds, making it too high for safety.

A. Delayed cognitive abilities B. Delayed social interactions C. Delayed language development D. Delayed motor skills

Correct Answer is A

Explanation

A. Delayed cognitive abilities. Cognitive impairment is the most serious consequence of untreated congenital hypothyroidism. Thyroid hormones are critical for brain development, especially in infancy and early childhood. Severe intellectual disability can result if treatment is delayed, making early diagnosis and levothyroxine therapy essential.

B. Delayed social interactions. While social development may be indirectly affected by hypothyroidism due to lethargy, poor responsiveness, or developmental delays, it is not as critical as cognitive delays, which can lead to permanent intellectual disability.

C. Delayed language development. Language delays are common in hypothyroidism but often stem from underlying cognitive impairment. Early treatment with thyroid hormone replacement can improve language development over time.

D. Delayed motor skills. Hypothyroidism can cause hypotonia (low muscle tone), leading to motor skill delays. However, motor delays are less concerning than irreversible cognitive impairment, which has the most significant long-term impact on the child's quality of life.

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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 reinforcing education to a caregiver of a pediatric client about disease prevention related to thermal injuries. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

The nurse caring for a toddler who is diagnosed with congenital hypothyroidism. Which of the following developmental delays should the nurse recognize as the priority concern if the condition is left untreated?

Correct Answer is A

Explanation

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