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The nurse needs to take a B/P on a 3 year old who is in the playroom. What is the best intervention?

Document B/P not obtained because child was in the playroom.

Take the child back to their room, take their B/P and then take them back to the playroom.

Take the child to the treatment room.

Take the B/P in the playroom.

Answer and Explanation

The Correct Answer is D

A. Document B/P not obtained because the child was in the playroom.

This is not the best option. The nurse should attempt to obtain the blood pressure as part of routine monitoring.

B. Take the child back to their room, take their B/P and then take them back to the playroom.

This may disrupt the child's play and is not the most efficient approach for routine blood pressure monitoring.

C. Take the child to the treatment room.

This might be unnecessary for a routine blood pressure check and could cause unnecessary anxiety for the child.

D. Take the B/P in the playroom.

This is the best intervention. If possible, taking the blood pressure in the playroom allows the child to remain in a familiar and comfortable environment, reducing anxiety and promoting cooperation.

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

Explanation

A. Respirations: Monitoring respiratory rate and pattern is crucial when a child is receiving narcotics, as these medications can depress the respiratory system. Rapid or shallow breathing may indicate respiratory distress.

B. Level of consciousness: This is important to assess for any signs of sedation or altered mental status, which can be a side effect of narcotics.

C. Oxygen saturations: Monitoring oxygen saturations is essential, especially if there are concerns about respiratory depression. A decrease in oxygen saturations could indicate inadequate ventilation.

D. Bowel sounds: While bowel sounds are important to assess for gastrointestinal function, they are not the top priority when monitoring a child receiving narcotics. Respiratory and central nervous system status take precedence.

A. Parents are shocked when their child is diagnosed with a malignant bone tumor. The orthopedic surgeon discusses the options of limb amputation and a limb-salvage procedure. The parents are asked to consider each option. B. The physician recommends that a young child be taken off the ventilator. The parents, who are divorced and have joint custody of the child, have differing views about whether to discontinue the ventilator. C. A child in end-stage renal failure is placed on the renal transplant list. The parents are asked to sign permission for surgery after a cadaver kidney is located. One parent is out of town and gives telephone consent. D. After initial therapies have failed, a child with leukemia is evaluated for a new cancer protocol. The child, age 8 years gives assent for the new treatment, and his parents give their consent.

Correct Answer is B

Explanation

This situation involves a difficult medical decision, but it does not describe a conflict or ethical dilemma that necessitates immediate involvement of the ethics committee. The parents are being informed about treatment options, and their input is sought in making a decision for their child's care.

B. The physician recommends that a young child be taken off the ventilator. The parents, who are divorced and have joint custody of the child, have differing views about whether to discontinue the ventilator.

This scenario presents a clear ethical dilemma involving the withdrawal of life-sustaining treatment. The differing views of the divorced parents with joint custody may require the involvement of the hospital ethics committee to provide guidance and facilitate resolution.

C. A child in end-stage renal failure is placed on the renal transplant list. The parents are asked to sign permission for surgery after a cadaver kidney is located. One parent is out of town and gives telephone consent.

While organ transplantation involves ethical considerations, the described situation does not present an immediate conflict or dilemma that requires the ethics committee's urgent involvement. The scenario seems to involve a common process of obtaining consent for surgery.

D. After initial therapies have failed, a child with leukemia is evaluated for a new cancer protocol. The child, age 8 years, gives assent for the new treatment, and his parents give their consent.

This scenario involves a child participating in the decision-making process through assent, and the parents providing consent. While significant, it does not describe a conflict or ethical dilemma that requires immediate ethics committee involvement. The situation seems to involve standard procedures for obtaining informed assent and consent for medical treatment.

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The nurse needs to take a B/P on a 3 year old who is in the playroom. What is the best intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a child who is receiving a narcotic for pain relief. Which of the following assessment should be a priority in monitoring the child (select all that apply)?

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

Explanation

Which situation would be appropriate to refer to the hospital ethics committee?

Correct Answer is B

Explanation

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