A nurse is teaching a newly hired nurse about the management of care for the terminal illness of a child. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

"Clinicians should participate in the discussion with the family about the child's prognosis."

"Palliative care should be offered once a child has less than 6 months to live."

"Parents who express hope of their child surviving are less accepting of palliative care."

"Palliative care should be given separately from curative care."

Answer and Explanation

The Correct Answer is A

A. Clinicians should be involved in discussions about the child’s prognosis to ensure that the family receives clear, compassionate information for decision-making.

B. Palliative care can and should be introduced earlier in the course of the illness, not just when the child is expected to live less than 6 months.

C. Parents expressing hope for survival do not necessarily reject palliative care. Palliative care can focus on comfort and quality of life even when there is still hope for recovery.

D. Palliative care should be integrated with curative care, as it can improve the quality of life while still pursuing treatment options.

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Correct Answer is B

Explanation

A. The onset of low blood glucose typically occurs rapidly, not slowly. Parents should be aware of the need for quick intervention.

B. Feeling shaky is a classic symptom of hypoglycemia, which occurs due to the release of epinephrine as the body attempts to increase blood glucose levels. This statement reflects accurate understanding.

C. Nausea and vomiting are more commonly associated with hyperglycemia or diabetic ketoacidosis (DKA), not hypoglycemia.

D. Sweating is a symptom of hypoglycemia, not hyperglycemia. Hyperglycemia symptoms typically include increased thirst, frequent urination, and fatigue.

A. A sibling who had a sore throat 3 weeks ago B. A classmate who has fifth disease C. The father who had gastritis 2 weeks ago D. A neighbor's child who has chickenpox

Correct Answer is A

Explanation

A. Rheumatic fever can develop after a group A streptococcal throat infection (strep throat), typically 2 to 4 weeks after exposure. The sibling with a recent sore throat is likely the source of the infection.

B. Fifth disease is caused by parvovirus B19 and is not linked to the development of rheumatic fever.

C. Gastritis is unrelated to rheumatic fever, which stems from a streptococcal throat infection.

D. Chickenpox is caused by varicella zoster virus and does not lead to rheumatic fever.

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A nurse is teaching a newly hired nurse about the management of care for the terminal illness of a child. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

Correct Answer is A

Explanation

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