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 B

Explanation

Choice A reason: Acute diarrhea and dehydration are not typical of Hirschsprung disease, which is characterized by bowel obstruction.
Choice B reason: This is the correct choice. Failure to pass meconium within the first 48 hours of life and abdominal distension are classic signs of Hirschsprung disease.
Choice C reason: Projectile vomiting and altered electrolytes could be signs of other conditions but are not specific to Hirschsprung disease.
Choice D reason: Currant jelly-like gelatinous stools and pain are more indicative of intussusception rather than Hirschsprung disease. Hirschsprung disease typically presents with a failure to pass stool and abdominal distension.

A. "We cannot promise that the hospital will not contact your parents surrounding the details of this visit, including billing." B. "We will not contact your parents regarding this visit." C. "Who would you like us to contact about your visit here today?" D. "We will need to contact your parents for consent to prescribe medications."

Correct Answer is B

Explanation

Choice A reason: This choice is incorrect. Confidentiality laws often protect the privacy of minors seeking treatment for sexually transmitted diseases.
Choice B reason: This is the correct choice. The law typically allows minors to receive confidential treatment for sexually transmitted diseases.
Choice C reason: This choice is incorrect. It suggests that someone else needs to be contacted, which is not necessary if the patient wishes for the visit to remain confidential.
Choice D reason: This choice is incorrect. Minors may consent to their own treatment for sexually transmitted diseases in many jurisdictions without parental consent.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn is diagnosed with Hirschsprung disease. Which clinical manifestations found on assessment support this newborn’s diagnosis?

Correct Answer is B

Explanation

An 17-year-old with a rash and itching in the groin area is concerned that he has contracted a sexually transmitted disease and does not want his parents to find out. The nurse's best response is:

Correct Answer is B

Explanation

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