Nokea
After talking with the parents of a child with Down syndrome, the nurse should help the parents establish which goal?
- A. Encouraging self-care skills in the child.
- B. Teaching the child something new each day.
- C. Encouraging more lenient behavior limits for the child.
- D. Achieving age-appropriate social skills.
Correct Answer: A
Rationale: Promoting self-care skills enhances independence and aligns with developmental goals for children with Down syndrome.
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A child with spastic cerebral palsy is to begin botulinum toxin type A (Botox) injections. Which treatment goals should the health care team set for the child related to Botox? Select all that apply.
- A. Improved nutritional status.
- B. Improved motor function.
- C. Enhanced self-esteem.
- D. Reduced caregiver strain and improved selfcare.
- E. Decreased speech impediments.
Correct Answer: B,D
Rationale: Botox injections in spastic cerebral palsy aim to reduce muscle spasticity, improving motor function and easing caregiving tasks, thus reducing caregiver strain.
Which of the following foods should the nurse encourage the mother to offer to her child with iron deficiency anemia?
- A. Rice cereal, whole milk, and yellow vegetables.
- B. Potato, peas, and chicken.
- C. Macaroni, cheese, and ham.
- D. Pudding, green vegetables, and rice.
Correct Answer: B
Rationale: Chicken and peas are iron-rich, supporting anemia treatment. Other options lack sufficient iron sources.
An adolescent with chronic renal failure is scheduled to go home with a peritoneal dialysis catheter in place. When developing the discharge teaching plan for the client and family focusing on psychosocial needs, which of the following areas should be a top priority to include?
- A. Advantages of limiting social activities and contacts for the first few months.
- B. Not disclosing information about the peritoneal dialysis to people outside the family.
- C. Possible effect on body image of the presence of an abdominal catheter.
- D. Importance of relying on parents to do the dialysis and dressing changes.
Correct Answer: C
Rationale: Body image concerns are significant.
When developing the ongoing plan of care for the parents whose infant died of sudden infant death syndrome (SIDS), the nurse should plan to accomplish which of the following on the second home visit?
- A. Allow the parents to express their feelings.
- B. Have the parents gain an understanding of the disease.
- C. Assess the impact of the infant's death on their other children.
- D. Deal with issues such as having other children.
Correct Answer: A
Rationale: On the second home visit, allowing parents to express their feelings supports their emotional processing of grief, which is a priority in early bereavement care.
During the acute stage of meningitis, a 3-year-old child is restless and irritable. Which of the following would be most appropriate to institute?
- A. Limiting conversation with the child.
- B. Keeping extraneous noise to a minimum.
- C. Allowing the child to play in the bathtub.
- D. Performing treatments quickly.
Correct Answer: B
Rationale: Minimizing noise reduces sensory stimulation, which can exacerbate irritability in a child with meningitis.