A nurse is teaching the parents of a school-age child about palliative care. Which of the following statements should the nurse include?

"Palliative care will begin once your child has been given 6 months left to live."

"Palliative care only addresses your child's physical and mental needs."

"Your child will have the final say in all decisions regarding palliative care."

"The primary goal of palliative care is to improve your child's quality of life."

Answer and Explanation

The Correct Answer is D

A. Palliative care can begin at any stage of a serious illness, not just when a prognosis of 6 months or less is given.

B. Palliative care addresses not only physical and mental needs but also social, emotional, and spiritual needs to improve the overall quality of life.

C. While the child's preferences are important, palliative care decisions are often made collaboratively with the family and healthcare team, rather than the child having the final say.

D. The primary goal of palliative care is to improve the quality of life for children and their families by managing symptoms and providing support.

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Correct Answer is B

Explanation

A. A low-fat diet is inappropriate for children with cystic fibrosis; they require a high-fat, high-calorie diet.

B. Pancreatic enzymes must be taken with every meal and snack to help with nutrient absorption in children with cystic fibrosis.

C. Limiting fluid intake is not appropriate for children with cystic fibrosis; adequate hydration is important.

D. Salt intake should be increased, not restricted, in children with cystic fibrosis due to excessive salt loss in sweat.

A. BP 90/52 mm Hg, heart rate 120/min, respirations 28/min, and axillary temperature of 37.3° C (99.1° F) B. BP 79/40 mm Hg, heart rate 135/min, respirations 32/min, and oral temperature of 38° C (100.4° F) C. BP 88/45 mm Hg, heart rate 113/min, respirations 28/min, and oral temperature 37.6° C (99.7° F) D. BP 85/50 mm Hg, heart rate 95/min, respirations 26/min, and axillary temperature of 36.7° C (98.1° F)

Correct Answer is B

Explanation

A. The vital signs in option A are within acceptable ranges for a 2-year-old and do not require urgent intervention.

B. The low blood pressure (79/40 mm Hg) and elevated heart rate (135/min) indicate possible shock or significant dehydration, both of which require immediate intervention.

C. The vital signs in option C are slightly low but are not immediately concerning. The blood pressure is within an acceptable range for a child of this age.

D. The vital signs in option D are stable, with no immediate concerns requiring urgent intervention.

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A nurse is teaching the parents of a school-age child about palliative care. Which of the following statements should the nurse include?

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