A 12 years old child has failed several courses of chemotherapy. an experimental drug is available that his parents want him to receive. he has told his parents and the oncologists that he is ready to die and does not want any more chemotherapy. the nurse recognizes that:
a. parents and child both need support in the decision-making
b. 12-year-olds are minors and cannot give consent or refuse treatments
c. the oncologists will need to make the decision since the parents and child disagree
d. the parents have the right and responsibility to make decisions for their children under age 18 years
a. parents and child both need support in the decision-making
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An older patient has been admitted to the intensive care unit (ICU) after falling at home. Within 8 hours, his condition has stabilized and he is transferred to a medical unit. The family is wondering whether he will be able to go back home
Which assessment instrument is most appropriate for the nurse to choose at this time? a. Lawton IADL instrument b. Hospital Admission Risk Profile (HARP) c. Mini-Cog d. NEECHAM Confusion Scale
The nurse is preparing a 9-year-old boy before obtaining a blood specimen by venipuncture. The child tells the nurse he does not want to lose his blood. What approach is best by the nurse?
a. Explain that it will not be painful. b. Suggest to him that he not worry about losing just a little bit of blood. c. Discuss with him how his body is always in the process of making blood. d. Tell the child that he will not even need a Band-Aid afterward because it is a simple procedure.
A director of nursing in a long-term care facility was concerned after reading that as many as 80% of residents have untreated pain. What action by the director is best?
a. Establish protocols for routine assessment. b. Make a "pain plan" for every resident. c. Involve family members in treating pain. d. Educate the staff on how to assess pain.
A patient with a long-standing dermatological health problem has been advised to use a drug with a local effect. The nurse should recognize what characteristic of this drug?
A) It affects only the organ system in which it is metabolized. B) The drug requires application at multiple sites. C) It is effective only as long as it is in contact with skin. D) The drug acts primarily at the site where it is applied.