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 A

Explanation

A. A negative Prehn's sign (where lifting the scrotum does not relieve pain) is a key sign of testicular torsion, indicating that the blood flow to the testicle is compromised.
B. Rebound abdominal tenderness suggests peritoneal irritation, not specifically testicular torsion.
C. Kernig's sign is a sign of meningitis, not related to testicular torsion.
D. A round, smooth, non-tender mass in the scrotum is more consistent with a hydrocele or hernia, not testicular torsion.

A. "I will encourage my child to participate in non-contact sports like swimming." B. "I will make sure my child wears helmets and protective gear when riding a bike or engaging in physical activities." C. "I will teach my child to avoid activities that may result in cuts or injuries." D. "I will give my child a non-steroid anti-inflammatory drug (NSAID) for pain relief if needed."

Correct Answer is D

Explanation

A. Non-contact sports like swimming are generally safe for children with hemophilia as they carry a lower risk of injury.
B. Wearing helmets and protective gear is an important safety measure for children with hemophilia to prevent trauma.
C. While it is important to avoid excessive risk of injury, children with hemophilia can still participate in many activities with precautions.
D. NSAIDs should not be used in children with hemophilia as they can increase the risk of bleeding. Acetaminophen (Tylenol) is a safer option for pain relief.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

7-year-old male with sudden scrotal pain reports to the Emergency department with his parent. Exhibits A Nurse is caring for a 7-year-old child with sudden onset of testicular pain. The nurse is aware that the pain may be a testicular torsion and assesses for what?

Correct Answer is A

Explanation

A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent Indicates a need for further teaching?

Correct Answer is D

Explanation

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