Nokea
When should children with cognitive impairments be referred for stimulation and educational programs?
- A. As young as possible
- B. As soon as they have the ability to demonstrate verbal communication
- C. At age 3 when schools are required to provide services
- D. At age 5 when schools are required to provide services
Correct Answer: A
Rationale: The correct answer is A: As young as possible. Early intervention for children with cognitive impairments is crucial for optimal development. Early stimulation and educational programs can significantly improve outcomes. The brain's plasticity is highest in early childhood, making it the most effective time for interventions. Waiting until age 3 or 5 (choices C and D) may lead to missed opportunities for crucial development. Choice B limits the intervention to verbal communication, overlooking other important areas. Therefore, referring children as young as possible (choice A) is the best approach to ensure they receive the necessary support and resources early on.
You may also like to solve these questions
The doctor has ordered Synthroid 75 mcg oral daily. The available Synthroid is 0.15 mg tablets. How many tablets will the nurse administer?
- A. 1 tablet
- B. 0.5 tablet
- C. 2 tablets
- D. 1.5 tablets
Correct Answer: B
Rationale: The correct answer is B: 0.5 tablet. To determine the number of tablets needed, convert 75 mcg to mg by dividing by 1000 (75 mcg = 0.075 mg). Then, divide the prescribed dose (0.075 mg) by the tablet strength (0.15 mg) to find the number of tablets needed (0.075 mg / 0.15 mg = 0.5 tablet). This calculation ensures the patient receives the correct dosage. Choice A is incorrect as it does not account for the tablet strength. Choices C and D are incorrect as they result in a higher dose than prescribed.
A child admitted with extensive burns. The nurse notes that there are burns on the child's lips and singed nasal hairs. The nurse should suspect that the child has a(n):
- A. Chemical burn
- B. Inhalation injury
- C. Electrical burn
- D. Hot-water scald
Correct Answer: B
Rationale: The correct answer is B: Inhalation injury. The presence of burns on the lips and singed nasal hairs indicate that the child has likely inhaled hot gases or smoke, which can cause damage to the respiratory tract. This is a common finding in cases of inhalation injury resulting from exposure to fire or smoke. Inhalation injury can lead to airway compromise, respiratory distress, and other serious complications. The other choices (A: Chemical burn, C: Electrical burn, D: Hot-water scald) do not specifically indicate damage to the respiratory tract, making them less likely in this scenario.
When caring for a newborn with Down syndrome, what should the nurse be aware is the most common congenital anomaly associated with Down syndrome?
- A. Diabetes insipidus
- B. Pyloric stenosis
- C. Congenital heart disease
- D. Congenital hip dysplasia
Correct Answer: C
Rationale: The correct answer is C: Congenital heart disease. Down syndrome is commonly associated with congenital heart defects, such as atrioventricular septal defects or ventricular septal defects. This is important for the nurse to be aware of because these heart anomalies can impact the newborn's health and require monitoring or intervention.
Choice A: Diabetes insipidus is not a common congenital anomaly associated with Down syndrome.
Choice B: Pyloric stenosis is not typically associated with Down syndrome.
Choice D: Congenital hip dysplasia is not a common anomaly seen with Down syndrome.
In summary, the nurse should prioritize monitoring for congenital heart disease in a newborn with Down syndrome due to its high prevalence and potential impact on the baby's health.
Anorexia nervosa may best be described as:
- A. Occurring most frequently in adolescent males
- B. Occurring most frequently in adolescents from lower socioeconomic groups
- C. Resulting from a posterior pituitary disorder
- D. Resulting in severe weight loss in the absence of obvious physical causes
Correct Answer: D
Rationale: Anorexia nervosa is characterized by severe weight loss due to restrictive eating behaviors and distorted body image. Choice D is correct as it accurately describes the hallmark symptom of anorexia. Choices A and B are incorrect because anorexia nervosa is more common in adolescent females and does not discriminate based on socioeconomic status. Choice C is incorrect as anorexia nervosa is primarily a psychological disorder, not a pituitary disorder.
A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care?
- A. Give cromolyn nebulized solution every 8 hr.
- B. Administer analgesics on a scheduled basis for the first 24 hr.
- C. Apply a warm compress to the operative site once daily.
- D. Offer small amounts of clear liquids 6 hr following surgery.
Correct Answer: B
Rationale: The correct answer is B: Administer analgesics on a scheduled basis for the first 24 hr. Postoperative pain management is crucial for a child recovering from surgery. By administering analgesics on a scheduled basis, the nurse ensures that the child's pain is effectively managed, promoting comfort and facilitating recovery. Cromolyn nebulized solution (choice A) is not indicated for pain management post-appendectomy. Applying a warm compress once daily (choice C) may not provide adequate pain relief. Offering small amounts of clear liquids 6 hr following surgery (choice D) is important for hydration but does not address pain management directly in the immediate postoperative period.