The nurse is attempting to include family in the care of a hospitalized, terminally ill adolescent. Which interventions can be appropriately delegated to family members? (Select all that apply)

Discuss the client’s status with care options at the bedside.

Keep a blood pressure cuff and stethoscope available at bedside.

Supply mouth swabs for the family to moisten lips.

Supply sufficient disposable pads to be placed under the client as needed.

Provide pillows to facilitate the repositioning for comfort.

Answer and Explanation

Correct Answer : C,D,E

Choice A reason: Discussing care options involves clinical judgment, which is the nurse’s responsibility, not delegable to family. Providing comfort tasks like swabs or pads is appropriate, making this incorrect, as it involves professional decision-making unsuitable for family delegation in the adolescent’s care.

Choice B reason: Keeping medical equipment like a blood pressure cuff involves monitoring, a nursing task, not delegable to family. Comfort tasks like providing swabs or pillows are suitable, making this incorrect, as it requires clinical skills beyond family’s role in the terminally ill adolescent’s care.

Choice C reason: Supplying mouth swabs for lip moistening is a simple comfort task family can perform, promoting involvement and patient comfort. This aligns with pediatric palliative care delegation, making it a correct intervention to delegate to family for the terminally ill adolescent’s care.

Choice D reason: Providing disposable pads for hygiene is a non-clinical task family can manage, supporting dignity and comfort. This aligns with family involvement in palliative care, making it a correct intervention to delegate for the terminally ill adolescent’s care in the hospital setting.

Choice E reason: Supplying pillows for repositioning is a comfort-focused task family can handle, enhancing the adolescent’s well-being. This aligns with pediatric palliative care principles, making it a correct intervention to delegate to family members for the terminally ill adolescent’s hospital care.

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Correct Answer is A

Explanation

Choice A reason: A complete fracture occurs when bone fragments are fully separated, disrupting the bone’s continuity. This aligns with orthopedic definitions, as separation indicates a break through the entire bone, requiring intervention. The nurse’s explanation matches this, making it the correct term for separated fracture fragments in children, consistent with pediatric trauma care.

Choice B reason: An incomplete fracture involves a partial break, with fragments not fully separated, common in children’s flexible bones. The question specifies separated fragments, which does not fit this definition. This choice is incorrect, as it contradicts the description of a complete separation of bone fragments in the context of fracture classification.

Choice C reason: A spiral fracture is caused by twisting, with a helical break pattern, but separation of fragments is not its defining feature. Complete fractures specifically describe separated fragments, making this incorrect, as spiral refers to shape, not the extent of fragment separation in fractures, per orthopedic terminology.

Choice D reason: A greenstick fracture is an incomplete break where one side bends and the other cracks, typical in children. Separated fragments indicate a complete fracture, not a greenstick, making this incorrect, as greenstick fractures do not involve full separation of bone fragments as described in the nurse’s explanation.

A. The child is imitating the adults’ behavior and just trying to be nice to everyone. B. The child is afraid of losing his father and trying to show how much he loves him. C. The boy is afraid of being hurt himself and thinks being especially good will protect him from accidents. D. The boy believes he caused the accident by telling his father he “hoped he crashed” when the boy couldn’t go along.

Correct Answer is B

Explanation

Choice A reason: Imitating adult behavior to be nice does not explain the child’s withdrawal and concern when the father is away. Fear of loss better accounts for these anxiety-driven behaviors post-accident, making this less fitting and incorrect for the child’s emotional response to the traumatic event.

Choice B reason: The child’s withdrawal and concern when the father is away suggest fear of losing him after the accident, a common reaction in young children. This aligns with pediatric psychology evidence on trauma response, making it the correct factor explaining the child’s behavior in this context.

Choice C reason: Fear of personal injury is less likely than fear of losing the father, given the child’s focus on the father’s absence. Withdrawal reflects attachment anxiety, not self-protection, making this less accurate and incorrect compared to the loss-related emotional response observed in the child.

Choice D reason: Believing he caused the accident is possible but less supported without evidence of guilt statements. Fear of loss better explains the child’s withdrawal and concern for the father’s absence, making this speculative and incorrect for the primary behavioral factor affecting the 5-year-old.

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The nurse is attempting to include family in the care of a hospitalized, terminally ill adolescent. Which interventions can be appropriately delegated to family members? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that if the fragments of fractured bone are separated, the fracture is said to be:

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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