To enhance the effectiveness of the pharmacological pain intervention administered to a 4-year old child with an injured knee, the nurse plans to add a nonpharmacological intervention. Which of the following actions would be appropriate for the nurse to perform? (select all that apply)

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.

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.

A. "I should keep my infected child away from his brother until he has recovered."

This statement is correct. Keeping an infected child away from siblings can help prevent the spread of bronchiolitis.

B. "I should insist that anyone who comes in contact with my children thoroughly wash their hands before playing with them."

This statement is correct. Handwashing is an important preventive measure to reduce the transmission of viruses that can cause bronchiolitis.

C. "I should insist that anyone with a respiratory illness avoid contact with my children until well."

This statement is correct. Avoiding contact with individuals who have respiratory illnesses helps reduce the risk of bronchiolitis.

D. "I should make sure both my children get a vaccination for bronchiolitis this year."

This statement needs further clarification. There isn't a specific vaccine for bronchiolitis. However, vaccination against certain viruses, such as the influenza virus (flu), can help prevent respiratory infections that may lead to bronchiolitis.