A nurse is teaching a newly hired nurse about how family members are affected by the terminal diagnosis of a child. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

Parents are less likely to rely on hospice care services If their child has terminal illness.”

Siblings may feel as if they have lost a parent which can lead to poor mental health."

Most negative feelings regarding losing a child should diminish within a year."

Parents feel hopeful are less equipped to make decisions that limit end-of-life interventions."

Answer and Explanation

The Correct Answer is B

A. Parents are less likely to rely on hospice care services if their child has a terminal illness. – Incorrect. Many parents seek hospice services for support in end-of-life care.

B. Siblings may feel as if they have lost a parent, which can lead to poor mental health. – Correct. Siblings often experience emotional distress due to the shift in parental attention.

C. Most negative feelings regarding losing a child should diminish within a year. – Incorrect. Grief is an ongoing process that does not have a set timeline.

D. Parents who feel hopeful are less equipped to make decisions that limit end-of-life interventions. – Incorrect. Hope can coexist with informed decision-making.

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Correct Answer is D

Explanation

A. Place the child on a no-salt-added diet. – Important but not the priority. Sodium restriction helps control fluid retention, but monitoring fluid balance is more critical.

B. Educate the parents about potential complications. – Important but not the first action. Early detection of complications through monitoring is more urgent.

C. Maintain a saline-lock for possible medications. – Useful but not the highest priority. Monitoring for fluid overload takes precedence.

D. Check the child’s daily weight. – Correct. Daily weight monitoring is the most effective way to assess fluid retention and worsening kidney function in acute glomerulonephritis.

A. Urethral obstruction B. Upper urinary tract infections C. Chronic kidney disease D. Phimosis E. Hydrocele

Correct Answer is ["B","C"]

Explanation

A. Urethral obstruction – Incorrect. Vesicoureteral reflux (VUR) does not directly cause urethral obstruction, which is typically due to structural abnormalities.

B. Upper urinary tract infections – Correct. VUR increases the risk of recurrent pyelonephritis (upper UTI) due to retrograde urine flow.

C. Chronic kidney disease – Correct. Repeated kidney infections and scarring from VUR can lead to chronic kidney disease over time.

D. Phimosis – Incorrect. Phimosis (tight foreskin) is unrelated to VUR.

E. Hydrocele – Incorrect. Hydrocele involves fluid accumulation around the testicle and is not related to urinary reflux.

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A nurse is teaching a newly hired nurse about how family members are affected by the terminal diagnosis of a child. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?

Correct Answer is D

Explanation

Correct Answer is ["B","C"]

Explanation

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