Answer to Question 1
1,2,4
Rationale 1: The child with an AND order may still receive oxygen to provide comfort.
Rationale 2: Suctioning of secretions would be appropriate for a child with an AND order.
Rationale 3: In most cases when a patient has an AND and respiratory arrest occurs, there will be no attempts to initiate resuscitation activities.
Rationale 4: The goal of AND orders is to maintain comfort of the patient while not continuing futile efforts to restore life. Pain control would be appropriate.
Rationale 5: Should the heart fail, external attempts to restart the heart would be inappropriate.
Global Rationale:
Answer to Question 2
3
Rationale 1: Unless the parents raise the issue, preparation for school should be discussed closer to the event.
Rationale 2: Giving too much information to the parents at one time can result in them forgetting important information due to overload; selecting one topic and presenting information is appropriate.
Rationale 3: Children and families often learn best when presented with small bits of information.
Rationale 4: Giving too much information to the parents at one time can result in them forgetting important information due to overload; selecting one topic and presenting information is appropriate.
Global Rationale:
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