The mother of a 14-year old who had a below-the-knee amputation for osteosarcoma tells the nurse that her child is angry and blaming her for allowing the amputation to occur. Which response is best for the nurse to provide?
- A. I will ask the HCP for a psychiatric consult for your child'
- B. This type of acting out behavior is normal for adolescents'
- C. It is important to focus on your child's needs at this difficult time'
- D. A reaction of anger is your child's attempt to cope with this loss'
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which nursing intervention is most important to include in the plan of care for a child with acute glomerulonephritis?
- A. Encourage fluid intake.
- B. Promote complete bed rest.
- C. Weigh the child daily.
- D. Administer vitamin supplements.
Correct Answer: C
Rationale: Weighing the child daily is crucial in managing a child with acute glomerulonephritis as it helps in monitoring fluid retention, which is a key concern in this condition. Daily weight monitoring allows healthcare providers to assess changes in fluid status and adjust treatment accordingly. It is an essential component of the care plan to ensure the child's health status is closely monitored during the management of acute glomerulonephritis.
During a routine physical exam, a male adolescent client tells the nurse, 'sometimes, my mother gets angry because I want to be with my own friends.' What is the best initial response by the nurse?
- A. Offer reassurance that his mother's concern is normal
- B. Determine if his friends are engaged in unsafe behaviors
- C. Ask about the client's response to his mother's anger
- D. Offer to discuss his concerns with his mother
Correct Answer: C
Rationale: When a client expresses concerns about family dynamics, it is important to explore their feelings and reactions to the situation. By asking about the client's response to his mother's anger, the nurse can gain insight into the client's emotions, thoughts, and coping mechanisms. Understanding these aspects is crucial in providing appropriate support and guidance.
The nurse is providing care for a 12-year-old child who was recently diagnosed with scoliosis. The child's parent asks about treatment options. What is the nurse's best response?
- A. Scoliosis can be corrected with exercises and physical therapy
- B. Bracing is often recommended to prevent further curvature of the spine
- C. Surgery is usually necessary for all cases of scoliosis
- D. There is no effective treatment for scoliosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the most important information for the PN to reinforce with the parents when caring for a child diagnosed with acute rheumatic fever?
- A. Complete the full course of prescribed antibiotics.
- B. Ensure the child gets plenty of physical exercise.
- C. Keep the child on a low-sodium diet.
- D. Administer prescribed pain medications as needed.
Correct Answer: A
Rationale: Completing the full course of antibiotics is crucial in the management of acute rheumatic fever as it helps prevent recurrence and complications. Antibiotics are essential in eradicating the underlying infection that triggers the autoimmune response leading to rheumatic fever. Reinforcing the importance of completing the prescribed antibiotic regimen is vital to ensure the child's recovery and prevent further health issues.
A 3-year-old child is brought to the clinic by the parents who are concerned that the child is not yet potty trained. What is the nurse's best response?
- A. Most children are potty trained by this age, so you should be concerned
- B. Every child develops at their own pace. Let's discuss some strategies to help
- C. Your child may need to be evaluated for developmental delays
- D. It's best to force your child to use the potty to encourage training
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.