Symptom management for children who are dying is a challenging and often the responsibility of the pediatric nurse. Research has shown that only 27% of dying children experience relief from which common symptom is experienced during the child's last weeks of life?
Fatigue
Respiratory distress
Pain
Poor appetite
The Correct Answer is C
A. Fatigue is a common symptom in terminally ill children, but it is not the one identified in research as receiving the least relief.
B. Respiratory distress is also common, especially in the final days, but symptom relief is typically addressed through oxygen therapy or medications like opioids or benzodiazepines.
C. Pain is one of the most commonly reported and under-relieved symptoms in dying children. Studies have shown that despite available pain management strategies, only about 27% of children receive adequate pain relief in their final weeks. This highlights the need for better pediatric palliative care practices.
D. Poor appetite is expected and typically accepted as part of the dying process, and while distressing to families, it is not the most inadequately managed symptom.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Step 1: Use the Holliday-Segar formula for maintenance fluids:
For the first 10 kg: 100 mL/kg/day
For the next 10 kg: 50 mL/kg/day
For any additional kg over 20 kg: 20 mL/kg/day
Step 2: Calculate for 36 kg
First 10 kg → 10 × 100 = 1,000 mL
Next 10 kg → 10 × 50 = 500 mL
Remaining 16 kg → 16 × 20 = 320 mL
Total = 1000 + 500 + 320 = 1,820 mL/day
Step 3: Convert to hourly rate
1820 mL/day ÷ 24 hr = 75.8 mL/hr
= 76 mL/hr (rounded off to the nearest whole number.
Correct Answer is B
Explanation
A. Sexual abusers can come from any socioeconomic or marital status; being unemployed and unmarried is not a consistent or defining characteristic.
B. A common and dangerous tactic among sexual abusers is to manipulate or coerce children into keeping the abuse a secret. This may involve threats, bribes, guilt, or emotional manipulation, making it difficult for victims to disclose abuse.
C. Many abusers repeatedly abuse the same victim and may have multiple victims, making this statement inaccurate.
D. In most cases, abusers are known to the victim and often to the family, such as relatives, family friends, or trusted authority figures.
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