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 C

Explanation

Choice A reason: Pneumonia could present with these symptoms, but it is less likely in this case due to the specific combination of symptoms described.
Choice B reason: Active pulmonary tuberculosis is less common in infants and does not typically present with these acute symptoms.
Choice C reason: This is the correct choice. The symptoms described are characteristic of Respiratory Syncytial Virus (RSV), especially in infants.
Choice D reason: Croup could cause some of these symptoms, but it is more commonly associated with a distinctive barking cough and stridor.

A. Blood urea nitrogen of 22 mg/dL (7.9 mmol/L). B. Fasting blood sugar of 200 mg/dL (11.1 mmol/L). C. Serum creatinine of 1.9 mg/dL (169 mmol/L). D. Glycosylated hemoglobin A1c of 8%.

Correct Answer is C

Explanation

Choice A reason: While elevated, this level of blood urea nitrogen is not critical before an MRI with contrast.
Choice B reason: Elevated fasting blood sugar is a concern for diabetes management but not typically for MRI with contrast.
Choice C reason: This is the correct choice. Elevated serum creatinine indicates reduced kidney function, which could be worsened by contrast agents used in MRI.
Choice D reason: An A1c of 8% indicates poor long-term glucose control but is not a direct concern for MRI with contrast.

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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

Correct Answer is C

Explanation

The nurse is preparing an older client for a magnetic resonance imaging (MRI) with contrast. Which laboratory value should the nurse report to the healthcare provider before the scan is performed?

Correct Answer is C

Explanation

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