ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 19 : Family-Centered Care of the Child During Illness and Hospitalization Questions
Question 1 of 5
An 8-year-old girl has been uncooperative and angry since the diagnosis of cancer was made. Her parents tell the nurse that they do not know what to do because she is always so mad at us. What nursing action is most appropriate at this time?
Correct Answer: B
Rationale: Helping parents manage the child?s anger constructively addresses her loss of control and promotes communication and coping. Explaining anger is unhelpful, finding the cause may be difficult for the child, and ignoring anger dismisses her emotional needs.
Question 2 of 5
The family and child have decided that hospice care best meets their needs during the terminal phase of illness. The nurse recognizes that the parents understand the principles of this care when they make which statement?
Correct Answer: A
Rationale: Hospice care emphasizes family as primary caregivers supported by professionals, aligning with the statement about caring at home. Medications continue for symptom management, hospice support extends post-death, and hospital readmission is possible if needed.
Question 3 of 5
A child in the terminal stage of cancer has frequent breakthrough pain. Nonpharmacologic methods are not helpful, and the child is exceeding the maximum safe dose for opiate administration. What approach should the nurse implement?
Correct Answer: B
Rationale: Titrating opioids per protocol manages breakthrough pain effectively, as tolerance may require higher doses, and the principle of double effect prioritizes pain relief. Acetaminophen is inadequate, hospitalization is unnecessary, and limiting medication ignores pain control needs.
Question 4 of 5
A 7-year-old child is in the end stages of cancer. The parents ask you how they will know when death is imminent. What physical sign is indicative of approaching death?
Correct Answer: D
Rationale: Difficulty swallowing is a physical sign of approaching death, reflecting declining bodily functions. Appetite and fluid intake decrease, and the pulse slows, not quickens, in the final stages.
Question 5 of 5
What nursing intervention is most appropriate when providing comfort and support for a child when death is imminent?
Correct Answer: A
Rationale: Limiting care to essentials prioritizes comfort and palliative interventions, reducing distress. Music can be soothing, whispering may be unclear, and frequent vital sign checks are unnecessary and intrusive at this stage.