The nurse is preparing a 12-year-old girl for a bone marrow aspiration. She tells the nurse that she wants her mother with her "like before." The most appropriate nursing action is to:
a. Grant her request.
b. Explain why this is not possible.
c. Identify an appropriate substitute for her mother.
d. Offer to provide support to her during the procedure.
ANS: A
The parents' preferences for assisting, observing, or waiting outside the room should be assessed, as well as the child's preference for parental presence. The child's choice should be respected. If the mother and child are agreeable, the mother is welcome to stay. An appropriate substitute for the mother is necessary only if the mother does not wish to stay. Support is offered to the child regardless of parental presence.
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A patient has been diagnosed with osteoporosis and asks the nurse, "What is osteoporosis?" The nurse explains that osteoporosis is defined as:
a. Increased bone matrix. b. Loss of bone density. c. New, weaker bone growth. d. Increased phagocytic activity.
An older adult is concerned that if her spouse, who recently suffered a stroke, is placed in a nursing home, "they will take everything in order to pay for his care." What response will the nurse make?
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The school nurse is working with a 13-year-old boy who recently was diagnosed with insulin-dependent diabetes. Which of the following would be one of the areas on which the teaching discussion should focus?
1. Encouraging the boy to tell his friends about healthy nutrition, so they are not tempting him with fast food 2. Referring the boy to a psychologist in order to deal with the new diagnosis 3. Reminding the boy of the activities in which he can continue to participate just as he did before the diagnosis 4. Making sure the boy tells everyone about his diagnosis in case there is a problem
Which statement concerning the benefits or limitations of breastfeeding is inaccurate?
a. Breast milk changes over time to meet changing needs as infants grow. b. Long-term studies have shown that the benefits of breast milk continue after the infant is weaned. c. Breast milk/breastfeeding may enhance cognitive development. d. Breastfeeding increases the risk of childhood obesity.