The nurse is creating a care plan for a terminal 6-year-old child ...

[vicky]

The nurse is creating a care plan for a terminal 6-year-old child in the hospital for palliative care. Which of the following should be the goal of the care plan?
 
  1. Pain assessment
   2. Developmental needs
   3. School needs
   4. Discharge planning

Question 2

A nurse is assessing a 27-week, premature neonate. The nurse notes that the premie's testicles are not descended. The nurse should anticipate which order?
 
  1. Genetic testing
   2. A pediatric urologist consultation
   3. Preparing the child for immediate surgery
   4. Testing for cancer

[bblaney]

Answer to Question 1

4
Feedback
1. Pain assessment and interventions are essential in end of life care, but not the goal.
2. The child's developmental needs are for assessment purposes.
3. Palliative care does not focus on school needs because the end of life should be the focus.
4. Discharge planning is the goal of a palliative care so the child can be in a comfortable home environment with the family.

Answer to Question 2

2
Feedback
1. Genetic testing will not identify structural issues for the undescended testicles.
2. A consultation will help identify if there are structural issues.
3. Undescended testicles are not a surgical emergency.
4. Undescended testicles do not present a risk for testicular cancer in premie babies.