Which client in the pediatric intensive care unit (PICU) would most benefit from palliative care?

A child just diagnosed with Leukemia

A child with a broken arm after a motor vehicle accident

A child with recurrent asthma exacerbations

A child with third-degree burn injuries to his left leg

Answer and Explanation

The Correct Answer is A

Choice A reason: Palliative care is often beneficial for children with serious illnesses such as leukemia, where the focus is on improving quality of life and providing relief from the symptoms and stress of the illness.

Choice B reason: While a broken arm is painful, it is typically not a condition that requires palliative care, as it does not usually involve a life-threatening or chronic illness.

Choice C reason: Recurrent asthma exacerbations can be serious, but palliative care is generally reserved for more severe chronic conditions that are not well-controlled.

Choice D reason: Third-degree burns are severe and require specialized care, but palliative care is most beneficial for conditions that are chronic and life-limiting, which may not be the case with localized burn injuries.

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Correct Answer is B

Explanation

Choice A reason: An elevated white blood count (WBC) is not typically a side effect of chemotherapy; in fact, chemotherapy often leads to a decreased WBC count.
Choice B reason: This is the correct choice. Bone marrow suppression is a common side effect of chemotherapy, leading to a decreased production of blood cells and necessitating precautions to prevent infection.
Choice C reason: T-cell mediated hypersensitivity is not a common side effect of chemotherapy that would dictate the type of precautions needed.
Choice D reason: Stomatitis is a possible side effect of chemotherapy, but it does not primarily determine the type of precautions required as bone marrow suppression does.

A. Escort the parents out of the room until the child has stabilized. B. Allow one parent to sit on the bed next to the child and hold their hand during the resuscitation. C. Allow them to stay in the room during the resuscitation as long as they are not disturbing the resuscitation efforts. D. Ask the parents to bring additional family from the waiting room to support them in the room during the resuscitation.

Correct Answer is C

Explanation

Choice A reason: Escorting the parents out of the room may increase their anxiety and distress, as they may want to be close to their child during such a critical time.

Choice B reason: Allowing one parent to sit on the bed may interfere with the medical team's efforts and is not typically recommended during active resuscitation.

Choice C reason: Allowing the parents to stay in the room can provide them with some comfort, knowing they are near their child, and may help in the grieving process if the outcome is unfavorable, as long as they do not interfere with the medical procedures.

Choice D reason: Bringing additional family members into the room during resuscitation can create a chaotic environment and may hinder the medical team's ability to work efficiently. It is better to have a controlled number of people in the room.

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Which client in the pediatric intensive care unit (PICU) would most benefit from palliative care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that the type of precautions needed for children receiving chemotherapy is based on which side effect of chemotherapeutic medications?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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