Author Question: A female client arrived by life flight to the hospital after experiencing multiple traumas in a ... (Read 73 times)

Capo

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A female client arrived by life flight to the hospital after experiencing multiple traumas in a .motor vehicle crash involving a suspected drunk driver. Which statement is most important for the nurse to make to the parents before they see their child?
 
  1. You should press charges against the drunk driver.
  2. Your child's condition is very critical; her face is swollen, and she might not look like herself.
  3. Your child's leg was crushed, and might have to be amputated.
  4. Don't worry, everything will be okay. We will take excellent care of your child.

Question 2

A preschool-age age child with severe head trauma is intubated and on a respirator. The child has three flat electroencephalogra ms (EEGs) completed 24 hours apart. The electrocardiogram (ECG) shows a rate of 90 beats per minute in a normal sinus rhythm. Which term should the nurse use when documenting these findings?
 
  1. Imminent death
  2. Brain death
  3. Natural death
  4. Heartlung death


14vl19

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Answer to Question 1

2
Explanation:
1. The nurse supports the family, but remains nonjudgmental about accident details.
2. The priority is to prepare the parents for the child's changed appearance.
3. The priority is to prepare the parents for the child's changed appearance. Truthful statements about the child's condition can be introduced after the parents have seen the child and grasped the situation.
4. The priority is to prepare the parents for the child's changed appearance. The nurse must not offer false reassurance or project future stressful events.

Answer to Question 2

2
Explanation:
1. Imminent death means physical death is inevitable within a period of time.
2. Cerebral death, or brain death, is the irreversible cessation of all brain functions, including those of the cerebral cortex and brainstem, manifested by the absence of brain waves on EEG.
3. Natural death is allowing cessation of all body functions without extraordinary medical interventions.
4. Heartlung death, the irreversible cessation of cardiorespiratory functions, has not occurred because the child is being mechanically ventilated.



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