A home health nurse is doing the first intake visit for a child who has hemiplegic cerebral palsy. When developing a plan of care for this child, which of the following goals is the priority for the nurse to include in the plan of care?

Provide activities of daily living for the child

Modify the home for safety

Provide respite services for the parents

Improve the client's communication skills

Answer and Explanation

The Correct Answer is B

A. While providing assistance with activities of daily living is important, ensuring the child's environment is safe is a higher priority to prevent injuries.
B. Modifying the home for safety is the priority because children with hemiplegic cerebral palsy have motor impairments that increase their risk for accidents and injuries. A safe environment is essential for the child’s well-being.
C. Providing respite services for the parents is beneficial for the family’s overall stress management, but it is not as immediate a concern as ensuring the child’s safety.
D. Improving communication skills is important for the child's overall development, but ensuring a safe living environment takes precedence to prevent potential harm.

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Correct Answer is B

Explanation

A. This statement is incorrect as children with CF can receive hepatitis vaccines.
B. Children with CF need all typical immunizations to protect against preventable diseases, as well as additional vaccines like the yearly pneumococcal and influenza vaccines to prevent respiratory infections.
C. This statement is incorrect and misleading. Children with CF should receive all required immunizations.
D. This statement is incorrect as children with CF can receive the polio vaccine.

A. "We can open the capsule and sprinkle it on food." B. "We will be able to stop the medication on weekends and holidays." C. This medication may cause drowsiness, fatigue and dry mouth." D. "It will take 2 to 3 weeks to see the positive effects of this medication."

Correct Answer is B

Explanation

A. Atomoxetine capsules should not be opened and sprinkled on food; they must be swallowed whole. This statement does not indicate a need for further teaching.
B. Atomoxetine is a non-stimulant medication for ADHD that must be taken consistently every day, not just on school days. This statement indicates a misunderstanding and a need for further teaching.
C. Drowsiness, fatigue, and dry mouth are common side effects of atomoxetine. This statement does not indicate a need for further teaching.
D. It is correct that it may take 2 to 3 weeks to see the positive effects of atomoxetine. This statement does not indicate a need for further teaching.

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A home health nurse is doing the first intake visit for a child who has hemiplegic cerebral palsy. When developing a plan of care for this child, which of the following goals is the priority for the nurse to include in the plan of care?

Nursing Test Bank

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