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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bradycardia is not a typical finding with PDA.
B. Cyanosis is more likely to occur with severe heart defects or in situations where there is a right-to-left shunt, which is not typical of PDA.
C. Weak pulses are not typical of PDA; instead, bounding pulses may be present.
D. A widened pulse pressure (a significant difference between systolic and diastolic blood pressure) is commonly seen in large PDA due to the continuous blood flow from the aorta to the pulmonary arteries.
Correct Answer is A
Explanation
A. Penicillin is used to eradicate the group A streptococcus bacteria that cause rheumatic fever, preventing further complications such as heart damage.
B. Corticosteroids may be used to manage symptoms of chorea (involuntary movements), but the primary treatment for rheumatic fever involves antibiotics like penicillin to eradicate the infection.
C. Salicylates (aspirin) are often used to manage the inflammation and fever associated with rheumatic fever, so they are not avoided. This choice is incorrect.
D. Bed rest is only indicated if the child has severe carditis, not as a routine measure for all children with rheumatic fever.
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