Author Question: The parents of the dying child are showing signs of tension in the relationship between them. The ... (Read 59 times)

Davideckstein7

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The parents of the dying child are showing signs of tension in the relationship between them. The nurse can help by carrying out which of the following interventions:
 
  a. Encourage the parents to suppress their feelings
  b. Focus interventions on the mother, since she is with the child more than the father
  c. Understand the father may feel the need to conceal his emotions
  d. None: the parents should be allowed to deal with it on their own

Question 2

The nurse planning nutritional interventions for an infant with congestive heart failure who has a nursing diagnosis of Imbalanced nutrition: Less than body requirements related to poor caloric intake and increased metabolic demands as evidenced
 
  by poor weight gain and weight loss would most likely include in the nursing care plan which of the following interventions? a. Increase calorie density slowly by adding less water when mixing formula or powdered formula to expressed breast milk.
  b. Quickly increase the calorie density by adding less water when mixing formula or powdered formula to expressed breast milk.
  c. Administer bolus feedings via a nasogastric tube every 2 to 3 hours.
  d. Start rice cereal earlier than is normally recommended.



lgoldst9

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Answer to Question 1

C
The parents should be encouraged to share their feelings. The father should not be ignored. He may not be seen as often because of work. The father may feel that he needs to conceal his emotions from the family, but the nurse should remember that he may have strong feelings and may feel abandoned.

Answer to Question 2

A

Feedback
A Correct. The nursing care plan would most likely include interventions such as increasing calorie density slowly by adding less water when mixing formula or powdered formula to expressed breast milk.
B Incorrect. The nursing care plan would not include quickly increasing the calorie density by adding less water when mixing formula or powdered formula to expressed breast milk. Increasing caloric density should be accomplished slowly over a number of days, as a sudden increase will increase the osmotic load in the gut, producing diarrhea.
C Incorrect. The nursing care plan would not include administering bolus feedings via a nasogastric tube every 2 to 3 hours.
D Incorrect. The nursing care plan would not include starting rice cereal earlier than is normally recommended.



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