The nurse is consulting with a child life specialist (CLS) to help minimize the stress of hospitalization for a child. Which services would the CLS provide? Select all that apply.

Only inpatient consultations with families

Emergency room interventions for children and families

Activities to support normal growth and development

Grief and bereavement support

Medical preparation for tests, surgeries, and other medical procedures

Support before and after, but not during, medical procedures

Answer and Explanation

Correct Answer : B,C,D,E

A.   Child life specialists (CLS) provide support not only to inpatients but also to children and families across various healthcare settings, including outpatient clinics, emergency rooms, and specialty care centers.
B.   CLSs provide interventions and support in emergency room settings to help minimize stress and anxiety for children and families during medical emergencies.
C.   CLSs organize activities and interventions tailored to the developmental needs of children to promote normal growth and development during hospitalization.
D.   CLSs offer grief and bereavement support to children and families coping with loss or end-of-life situations.
E.   CLSs provide medical preparation, including age-appropriate explanations and coping strategies, to help children understand and cope with medical procedures, tests, and surgeries.
F.   CLSs offer support not only before and after medical procedures but also during them, providing emotional support, distraction techniques, and coping strategies to help children cope with stress and discomfort.

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Correct Answer is ["A","B","C","D"]

Explanation

A. Asymmetrical movement may indicate discomfort or restricted mobility due to a fractured clavicle.
B. Bruising over the area of the clavicle may suggest trauma and could be associated with a fracture.
C. Edema (swelling) over the fractured clavicle may be present due to inflammation and tissue injury.
D. Facial grimacing with movement could indicate pain or discomfort associated with a fractured clavicle.
E. A positive Babinski reflex is unrelated to a fractured clavicle and would not be directly assessed for this condition.

A. Fluid loss of the neonate will be minimized. B. Neonatal weight loss will be prevented. C. Assessment of hyperbilirubinemia will be monitored. D. Perfusing to the exposed abdominal contents will be maintained. E. The abdominal contents are protected.

Correct Answer is ["A","D","E"]

Explanation

A. Minimizing fluid loss is important in the care of a neonate with an omphalocele to prevent dehydration.
B. Preventing neonatal weight loss is not directly related to the care of an omphalocele.
C. While monitoring for hyperbilirubinemia is important in neonatal care, it's not specific to the care of an omphalocele.
D. Maintaining perfusion to the exposed abdominal contents is essential for preventing complications such as ischemia or necrosis.
E. Protecting the abdominal contents helps prevent infection and trauma to the exposed organs.

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The nurse is consulting with a child life specialist (CLS) to help minimize the stress of hospitalization for a child. Which services would the CLS provide? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

A preterm newborn is admitted to the neonatal intensive care with the diagnosis of an omphalocele. What nursing actions would the nurse perform? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

A newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?

The school nurse is preparing a program on sexuality and birth control for a class of 14 to 16 year olds. Which behavior will have the most influence on how the information is presented?

The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

The nurse is caring for a 14-year-old boy with an osteosarcoma. Which communication technique would be least effective for him?

The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?

A 30 weeks' gestation neonate born with low Apgar scores is in the neonatal intensive care unit with respiratory distress syndrome and underwent an exchange transfusion for anemia. Which factors place the neonate at risk for necrotizing enterocolitis? Select all that apply

A client expresses concerns that her grandmothers had complicated pregnancies. What principle(s) should the nurse discuss to allay the fears of the client? Select all that apply.

The school nurse is conducting a seminar for parents of adolescents on how to communicate with teenagers. Which guidelines might the nurse recommend? Select all that apply.