A 6-year-old child is in the pediatric intensive care unit (PICU) ...

[yoooooman]

A 6-year-old child is in the pediatric intensive care unit (PICU) with a fractured femur and head trauma. The child was not wearing a helmet while riding his new bicycle on the highway, and collided with a car.
 
  The nurse can expect which of the following nursing diagnoses for the parents of this child? 1. Guilt related to buying a bicycle for the child
   2. Family Coping: Compromised, related to the critical injury of the child
   3. Parental Role Conflict related to child's wellness vs. illness
   4. Knowledge Deficit related to home care of fractured femur

Question 2

A nurse is reviewing the charts of children in the pediatric units to determine which parents would benefit from referral to the genetics clinic.
 
  The nurse recognizes that the parents of children with genetic and chromosomal disorders would benefit most from this referral. Therefore, the nurse refers the parents of the: (Select all that apply.) 1. Child diagnosed at age 6 with cystic fibrosis.
 
  2. Neonate born at 28 weeks with respiratory distress syndrome.
 
  3. 2-year-old child who is terminally ill with a brain tumor.
 
  4. Child with Fanconi's syndrome being treated for anemia.
 
  5. 4-year-old child with nephrotic syndrome.

[reelove4eva]

Answer to Question 1

2
Rationale:
1. The parent might experience guilt for purchasing a bicycle and not providing a helmet for the child.
2. The parents are displaying ineffective coping behaviors. Parent might be experiencing hopelessness, frustration, and anxiety, and they are not coping well as a family unit.
3. At this point, the parents will not be conflicted or confused whether they want their child well or ill.
4. During the initial phase of the accident, the family is not focusing on discharge planning and care of the fractured femur.

Answer to Question 2

1, 4

Rationale:

1. Cystic fibrosis and Fanconi's syndrome are both genetic disorders.
2. Although genetic disorders can lead to prematurity, there is no evidence that this child has a genetic disorder.
3. There is no evidence that brain tumors have genetic tendencies.
4. Cystic fibrosis and Fanconi's syndrome are both genetic disorders.
5. Nephrotic syndrome and brain tumors are not known to be genetic disorders.

[yoooooman]

TYSM

[lcapri7]

Gracias!