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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Meningitis is an infection of the protective membranes covering the brain and spinal cord and is not typically listed as a risk factor for ADD/ADHD.
Choice B reason: A family history of ADD/ADHD is a known risk factor, as the disorder can have a genetic component.
Choice C reason: Exposure to environmental toxins, such as lead, is associated with an increased risk of developing ADD/ADHD.
Choice D reason: While maternal health issues like gestational diabetes can impact a child's development, they are not directly linked to ADD/ADHD as a risk factor in the same way as genetic or environmental factors. However, this choice is less incorrect than Choice A, as there is some evidence suggesting a potential association between gestational diabetes and developmental disorders.
Correct Answer is D
Explanation
Choice A reason: Non-opioid analgesics are typically not strong enough to manage the severe pain associated with a sickle cell crisis.
Choice B reason: Guided imagery can be a helpful adjunct, but it is not the primary method of pain control during a crisis.
Choice C reason: Diversional activities may help distract from the pain but are not sufficient as the sole method of pain management.
Choice D reason: This is the correct choice. An IV PCA (patient-controlled analgesia) allows the child to manage pain effectively and is appropriate for severe pain during a sickle cell crisis.
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