Which nursing intervention is most appropriate for a school-age child with congenital heart block who codes in the emergency department (ED), while the parents witness the resuscitation scene?

Escort the parents out of the room until the child has stabilized.

Allow one parent to sit on the bed next to the child and hold their hand during the resuscitation.

Allow them to stay in the room during the resuscitation as long as they are not disturbing the resuscitation efforts.

Ask the parents to bring additional family from the waiting room to support them in the room during the resuscitation.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is A

Explanation

Choice A reason: This is the correct choice. The level of consciousness is the most direct and immediate indicator of brain function following an injury.
Choice B reason: Gross motor skill function is important but may not be the best immediate indicator of brain function.
Choice C reason: Pupil response is a good indicator of brain function but is part of a broader neurological assessment that includes the level of consciousness.
Choice D reason: Vital signs are important to monitor but do not directly indicate brain function like the level of consciousness does.

A. Recent streptococcal infection. B. Low-grade fever. C. Dry, peeling skin and patchy rash. D. Conjunctivitis with exudates.

Correct Answer is C

Explanation

Choice A reason: A recent streptococcal infection is not a symptom of Kawasaki disease.
Choice B reason: Kawasaki disease typically presents with a high fever, not a low-grade fever.
Choice C reason: This is the correct choice. Dry, peeling skin and a patchy rash are common symptoms of Kawasaki disease.
Choice D reason: Conjunctivitis in Kawasaki disease typically does not have exudates.

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Which nursing intervention is most appropriate for a school-age child with congenital heart block who codes in the emergency department (ED), while the parents witness the resuscitation scene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is the best indicator of brain function in a child with a moderate brain injury?

Correct Answer is A

Explanation

The nurse is performing the initial assessment of a child newly diagnosed with Kawasaki disease. Which symptoms would the nurse expect to assess with this child?

Correct Answer is C

Explanation

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