In a pediatric surgical unit, when discussing patient-controlled analgesia (PCA) in a preoperative parental meeting, which client would be the most appropriate candidate for PCA?

An 8-year-old, postoperative spinal fusion for scoliosis.

A 6-year-old who is 72 hours post-op.

A 10-year-old who has a fractured femur and concussion.

A 16-year-old postoperative bone surgery with Down Syndrome.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. An 8-year-old is typically capable of understanding and using PCA effectively, especially after a major surgery like spinal fusion.
Choice B reason: A 6-year-old may not fully understand how to use PCA and could be at risk for under or overdosing.
Choice C reason: While a 10-year-old could use PCA, the presence of a concussion may impair their ability to use it properly.
Choice D reason: A 16-year-old with Down Syndrome may have cognitive impairments that could hinder the safe use of PCA.

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Correct Answer is D

Explanation

Choice A reason: Administering a bolus of D10W is not the first-line treatment for severe dehydration and may not address the immediate fluid needs of the infant.
Choice B reason: Offering an oral rehydration solution is not appropriate for an infant with severe dehydration and a compromised ability to hold down fluids.
Choice C reason: Administering a bolus of hypertonic saline is not typically the initial treatment for dehydration and could potentially worsen the infant's condition.
Choice D reason: This is the correct choice. Administering a bolus of normal saline is the immediate action to treat severe dehydration and restore circulatory volume.

A. "A lack of prenatal care is a known cause of autism, but there is no way you could have predicted this." B. "The specific cause of autism is unknown; however, it is known to be associated with problems in the structure of and chemicals in the brain." C. "Although autism is genetically inherited, if you didn't have testing, you could not have known this would happen." D. "Autism is a rare disorder. Your other children shouldn't be affected."

Correct Answer is B

Explanation

Choice A reason: This statement is incorrect and could potentially increase feelings of guilt, as a lack of prenatal care is not a known cause of autism.

Choice B reason: This statement is accurate and can help alleviate guilt by explaining that autism is not caused by something the parents did or did not do.

Choice C reason: While it's true that parents without genetic testing could not have known, this statement does not address the feelings of guilt regarding causation.

Choice D reason: This statement is misleading because autism is not considered rare, and siblings can have an increased risk of autism spectrum disorders. It does not provide accurate information or address the parents' feelings of guilt.

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In a pediatric surgical unit, when discussing patient-controlled analgesia (PCA) in a preoperative parental meeting, which client would be the most appropriate candidate for PCA?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

Which statement by the nurse would best help alleviate parental guilt about their child, George, who has been recently diagnosed with autism?

Correct Answer is B

Explanation

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