Exam 43: The Child With a Life-Threatening Condition and End-Of-Life Care

The hospital nurses,after attending a conference on nursing burnout,discuss among themselves strategies to use when working with families of dying children.Which of the following would be helpful? Select all that apply.

The parents of a 2-year-old child who sustained severe head trauma from falling out of a second-story window are arguing in the Pediatric Intensive Care Unit (PICU),and are blaming each other for the child's accident.Which is the best nursing diagnosis for this family?:

A 10-year-old child is transported to the Emergency Department by ambulance fro 3.His pulse,respirations,and blood pressure are stable,and his neck and back are immobilized on a backboard.The nurse sees no obvious bleeding.The child states," I can't move or feel my legs." What injury is most likely?m the scene of a car accident.He is alert and oriented ×

The nurse must prepare parents to see their adolescent daughter in the Pediatric Intensive Care Unit (PICU).The child arrived by life flight after experiencing multiple traumas in a car accident involving a suspected drunk driver.At this time,which statement is most important for the nurse to make?

The nurse is working with a 3-year-old child in Bryant's traction for a fractured femur.A pain assessment scale,such as the Oucher scale,can be useful to the nurse caring for this child because the pain assessment scale:

The nurse caring for a child who is sedated,unconscious,and on a mechanical ventilator can expect to include which nursing intervention in the nursing care plan?

A 6-year-old child is in the Pediatric Intensive Care Unit (PICU)with a fractured femur and head trauma.The child was not wearing a helmet while riding his new bicycle on the highway,and collided with a car.The nurse can expect which nursing diagnoses to apply to the parents of this child? Select all that apply.

The nurse is working with children in hospice care.The mother of a young child with cancer talks with the nurse about the future holiday celebrations she will miss with her child.The nurse assesses that the mother is experiencing:

A school bus carrying children in grades K-12 crashed into a ravine.The critically injured children were transported by ambulance and admitted to the Pediatric Intensive Care Unit (PICU).The nurse is concerned about calming the frightened children.Which is the most effective nursing intervention to achieve this goal?

The Emergency Department nurse is talking with a preschooler about the death of the child's parents in an airplane crash.The preschooler asks,"Can I talk to my mommy and daddy?" The nurse responds,"They were killed,and cannot talk to you anymore." However,the nurse realizes that preschoolers might:

A 16-year-old boy has a stiff neck,headache,fever of 103ºF,and purpuric lesions on his legs.He is admitted to the hospital for treatment of suspected meningococcemia.Although the adolescent's physical needs take priority at the present time,the nurse can expect which psychological stressor to be the most significant for this adolescent?

A 12-year-old child with congenital heart block codes in the Emergency Department.The parents witness this and stare at the resuscitation scene unfolding before them.Which is the best nursing intervention in this situation?

An adolescent with cystic fibrosis is intubated with an endotracheal tube.Which is the most appropriate nursing diagnosis?

A 3-year-old child with severe head trauma is intubated and on a respirator.The child has three flat electroencephalograms (EEG)completed 24 hours apart.The electrocardiogram (EKG)shows a rate of 90 beats per minute in a normal sinus rhythm.Which of the following describes these findings?

An adolescent experiencing status asthmaticus was rushed to the Emergency Department by ambulance.The parents arrive and ask to see their child.The triage nurse at the reception desk knows that the adolescent was pronounced dead on arrival.At this moment,the triage nurse's best intervention is to do which of the following?