AACN CCRN-Pediatric Dumps

In end-of-life situations, especially involving pediatric patients, psychosocial support must extend to the entire family. When a parent expresses uncertainty or ambivalence, the nurse's role is to facilitate open communication and exploreparental concerns without imposing judgment or directives.

“Effective psychosocial care requires assessment of family readiness and emotional state. Nurses should encourage family expression of feelings and help clarify concerns before offering direction or education.”

(Referenced from CCRN Pediatric – Direct Care: Psychosocial Support and Palliative Care)

By asking about the parent's concerns, the nurse promotes a therapeutic relationship and gains insight into the family's emotional and cultural dynamics, allowing further support or child life referrals as needed.

In BPD, the lungs are already injured and prone tovolutrauma and barotrauma. Ventilator strategies often include“gentle ventilation”withlower tidal volumesandpermissive hypercapniato reduce lung injury. This accepts slightly elevated CO₂ levels to avoid high pressures.

“Permissive hypercapnia is a lung-protective strategy used in infants with BPD to minimize ventilator-induced injury. Target PaCO₂ levels are allowed to be mildly elevated as long as pH is maintained.”

(Referenced from CCRN Pediatric – Direct Care: Pulmonary, Chronic Lung Disease Management)

Hypertrophic cardiomyopathy (HCM)causesleft ventricular outflow tract obstruction, impairing cardiac output. The low blood pressure, tachycardia, and hypoxemia are classic signs ofventricular dysfunction—specificallydiastolic dysfunctiondue to a thickened, stiff left ventricle.

“HCM may lead to ventricular dysfunction due to impaired relaxation and outflow obstruction, especially during increased demand. Symptoms include hypotension, tachycardia, and hypoxia.”

(Referenced from CCRN Pediatric – Direct Care: Cardiovascular, Cardiomyopathies and Shock States)