Which indicators of imminent death in a child should the nurse ...

[APUS57]

Which indicators of imminent death in a child should the nurse expect to assess? Select all that apply.
 
  a. Heart rate increases.
  b. Blood pressure increases.
  c. Respirations become rapid and shallow.
  d. The extremities become warm.
  e. Peripheral pulses become stronger.

Question 2

Which is the most appropriate response to a parent who tells the nurse, I don't want my child to know she is dying?
 
  a. I shall respect your decision. I won't say anything to your child..
  b. Don't you think she has a right to know about her condition?
  c. Would you like me to arrange for the physician to speak with your child?
  d. I'll answer any questions she asks me as honestly as I can..

[onowka]

Answer to Question 1

A, C
Indicators of imminent death include the heart rate increasing, with a concomitant decrease in the strength and quality of peripheral pulses; respiratory effort declines, as evidenced by rapid, shallow respirations; and extremities are cool and cyanotic.

Answer to Question 2

D
Nurses can inform parents that they will not initiate any discussion with the child but that they intend to respond openly and honestly if and when the child initiates such a discussion. As the caregiver and advocate, the nurse should first meet the child's needs. Would you like me to arrange for the physician to speak with your child does not address the parent's wishes.