Exam 42: The Child With a Life-Threatening Condition and End-Of-Life Care

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

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:

The nurse is leading a recovery group made up of parents who have lost a child. As the opening topic for the night's discussion, the nurse has again reviewed information about the grief process to the parents and talked about how different people grieve. During the discussion phase, several fathers speak. The nurse recognizes that the father who needs more time to understand the grief process is the father who says:

The nurse is having difficulty coping with the impending death of a child. Which would most likely be the best resource for the nurse at this time?

The nurse is doing a follow-up home visit to a family who lost their three-month-old infant to SIDS eight weeks ago. The mother s the door in her nightgown with hair uncombed. During the interview, the mother states: "I don't see the point of getting dressed each day." The nurse recognizes that the mother is demonstrating which stage of grief behavior?

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 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?

The hospital unit is very busy and nursing is understaffed. The nurse recognizes that death is imminent in one of her assigned patients. Nursing behaviors to offer family support would include:

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:

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?

The nurse is counseling some parents on how they will feel after the death of a child. The nurse understands that the parents might feel which of the following?

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?

A 16-year-old boy has a stiff neck, headache, fever of 103°F, 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 10-year-old child is transported to the Emergency Department by ambulance from the scene of a car accident. He is alert and oriented × 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?

The mother of a dying three-year-old child posts on Facebook: "Family and friends. Michael's heart is giving out. Looks like it will be tonight. He is surrounded by family and not in pain. I treasure every minute of being his mother. Pray for us." The nurse who has worked with the family recognizes that Michael's mother is in which stage of grieving according to Kubler-Ross?

The nurse is taking care of a child who is showing signs of imminent death. What changes should the nurse expect to see related to the cardiovascular system?

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:

The nurse is speaking with a preschool-age child whose sibling recently died. The nurse understands that preschool-age siblings might feel that the death was due to:

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 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.