A home health nurse is developing a plan of care for a child diagnosed with hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?

Foster self-care activities.

Provide respite services for the parents.

Modify the environment.

Improve the client's communication skills.

Answer and Explanation

The Correct Answer is A

A.   Encouraging self-care activities helps promote independence and improve the quality of life for a child with hemiplegic cerebral palsy. It focuses on maximizing the child's potential for autonomy.
B.   Respite care is important for caregiver support, but fostering self-care activities for the child is a higher priority for long-term development.
C.   Modifying the environment is useful for safety and mobility but does not address the child’s ability to perform self-care, which is a key aspect of daily functioning.
D.   While communication skills are important, fostering self-care activities takes precedence in
supporting the child’s independence.

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Correct Answer is D

Explanation

A. Antibiotics are not indicated for coarctation of the aorta.
B. Monitoring is important, but the immediate action is to notify the cardiologist for further intervention.
C. Balloon angioplasty is a potential treatment for coarctation of the aorta but would be decided by the cardiologist after assessment.
D. Coarctation of the aorta causes a narrowing of the aorta, leading to differences in blood pressure and pulse strength between the upper and lower extremities. The nurse should notify the cardiologist for further evaluation and management.

A. Edema with normal or low BP B. Edema with hypertension C. Unexpected weight loss D. Frequency and urgency

Correct Answer is A

Explanation

A. Edema with normal or low BP is correct. In nephrotic syndrome, fluid retention leads to edema, and blood pressure is typically normal or low due to the loss of protein in the urine and reduced plasma oncotic pressure.
B. Edema with hypertension is less common in nephrotic syndrome but may occur in cases with significant fluid retention or other complications.
C. Unexpected weight loss is incorrect. Weight gain due to fluid retention is a hallmark of nephrotic syndrome.
D. Frequency and urgency are not common symptoms of nephrotic syndrome; these are more typical of urinary tract infections.

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A home health nurse is developing a plan of care for a child diagnosed with hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is assessing a child who has nephrotic syndrome. The nurse should expect which of the following findings?

Correct Answer is A

Explanation

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