Try Naxlex NCLEX-RN (Free-Trial)

Which situation would be appropriate to refer to the hospital ethics committee?

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.

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.

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.

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.

Answer and Explanation

The Correct Answer is D

Choice A reason: This situation does not require the involvement of the hospital ethics committee, as the parents are not refusing or requesting any treatment that is contrary to the standard of care. The surgeon is providing them with information and options, and the parents are free to make their own decision.

Choice B reason: This situation does not involve any ethical dilemma, as the parents are giving their permission for the surgery, and the telephone consent is legally valid. The hospital ethics committee is not needed to resolve any conflict or uncertainty.

Choice C reason: This situation is an example of ethical research involving children, as the child is giving assent and the parents are giving consent for the new protocol. The hospital ethics committee is not required to intervene, as the research protocol has already been approved by the institutional review board.

Choice D reason: This situation is an appropriate case for the hospital ethics committee, as it involves a life-and-death decision that affects the child's best interests and the parents' rights. The hospital ethics committee can help to mediate the conflict, provide guidance, and facilitate a resolution.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Having a decongestant available to give the child when an attack occurs is not a correct answer because decongestants are not recommended for children under 6 years old. They can cause side effects such as increased heart rate, irritability, and insomnia.

Choice B reason: Having the child sleep in a dry room is not a correct answer because dry air can worsen the inflammation and swelling of the airway. Moist air can help soothe the throat and reduce the coughing.

Choice C reason: Keeping the child's room humidified is the correct answer because humidified air can help loosen the mucus and ease the breathing. A cool-mist humidifier or a steamy bathroom can provide humidification.

Choice D reason: Giving the child an antibiotic at bedtime is not a correct answer because antibiotics are not effective for croup, which is usually caused by a virus. Antibiotics can also cause adverse reactions such as rash, diarrhea, and allergic reactions.

A. I know how you feel, but the best medicine for your child right now is acetaminophen. B. Your child will get better on her own in a few days. C. I am also very surprised that the pediatrician did not order antibiotics. D. It is likely that the ear infection is caused by a virus and antibiotics do not kill viruses.

Correct Answer is D

Explanation

Choice A reason: This response is not appropriate because it does not address the mother's concern about antibiotics. It also implies that the nurse is making a medical decision for the child, which is beyond the scope of practice.

Choice B reason: This response is not appropriate because it does not provide any reassurance or education to the mother. It also sounds dismissive of the child's condition and the mother's worry.

Choice C reason: This response is not appropriate because it undermines the authority and judgment of the pediatrician. It also creates doubt and confusion in the mother's mind about the quality of care her child is receiving.

Choice D reason: This response is appropriate because it explains the rationale for not prescribing antibiotics for an ear infection. It also educates the mother about the difference between viral and bacterial infections and the appropriate use of antibiotics.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which situation would be appropriate to refer to the hospital ethics committee?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which intervention for treating croup at home should be taught to parents?

Correct Answer is C

Explanation

The mother of a 3-year-old who has been diagnosed with an ear infection states, "I can't understand why you won't give my child antibiotics. Can't you see that she is sick?" Which of the following responses by the nurse is appropriate at this time?

Correct Answer is D

Explanation

A six-year-old girl is brought to the emergency department. She has a "frog-like croaking sound" on inspiration, is agitated, and is drooling. She insists on sitting upright. The nurse should first do which of the following?

When obtaining a history from parents of a 4-year-old child, what indicator should prompt the nurse to consider suspected child abuse?

Which assessment indicates to a nurse that a school-age child is in need of pain medication?

While caring for a 4-year-old, the nurse uses which tool to assess pain?

The nurse is caring for a 3-year-old weighing 14 kg who has been ordered Amoxicillin 175 mg PO q 8 hrs for a recurrent ear infection. The safe dose is 20-40 mg/kg/day. Is this a safe dose?

A 3-year-old Native American child is admitted to the pediatric unit for emergency surgery. Which of the following questions should the nurse include when taking the admission history from the child's parents?

An 8-year-old child, who has a history of asthma, is seen in the office of the school nurse with coughing and wheezing. Which of the following actions should the nurse perform first?

The nurse discovers welts on the back of a child whose parents identify as 1st generation Vietnamese. The mother states she rubbed the edge of a coin on her child's oiled back. The nurse should recognize that this is: