A mother brought her infant with Down syndrome into the clinic for a well-child checkup. Which statement made by the mother would indicate a need for further education about Down syndrome? "I know my child has an increased risk for developing:.

Obesity.".

Diabetes.".

Cataracts.".

Skeletal abnormalities.".

Answer and Explanation

The Correct Answer is B

Choice A rationale:

The statement about an increased risk for developing obesity is accurate. However, this does not indicate a need for further education about Down syndrome, as obesity is a common concern in the general population as well.

Choice B rationale:

The statement about an increased risk for developing diabetes would indicate a need for further education. Individuals with Down syndrome are indeed at an elevated risk of developing diabetes, often in their early adulthood.

Choice C rationale:

The statement about an increased risk for developing cataracts is accurate. However, it is not a primary concern associated with Down syndrome in infancy.

Choice D rationale:

The statement about skeletal abnormalities is accurate. While individuals with Down syndrome can have certain skeletal features, this is not a critical concern during infancy.

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Correct Answer is B

Explanation

Choice A rationale:

Replacing the dressing if bleeding is noted is appropriate as it helps maintain a clean and sterile site post-catheterization.

Choice B rationale:

Positioning the child in a flat-lying position immediately after cardiac catheterization is incorrect. The child should be placed in a specific position, such as semi-Fowler's, to avoid complications and promote comfort.

Choice C rationale:

Monitoring the pulses distal to the site is essential to assess circulation and potential complications after the procedure.

Choice D rationale:

Checking the vital signs every 15 minutes is appropriate post-catheterization to detect any hemodynamic changes or complications.

A. Monitor breathing pattern at 15-minute intervals. B. Insert indwelling Foley catheter for straight drainage. C. IV D5/45 NS at 100 mL/hr. D. Syrup of ipecac 30 mL, po, Stat.

Correct Answer is D

Explanation

Choice A rationale:

Monitoring the patient's breathing pattern at 15-minute intervals is crucial in an unconscious patient who may have ingested alcohol or drugs, as it helps assess their respiratory status. This intervention ensures early detection of any respiratory distress and guides necessary interventions.

Choice B rationale:

Inserting an indwelling Foley catheter for straight drainage is appropriate for unconscious patients to monitor their urinary output and renal function. This helps prevent urinary retention and complications related to inadequate urine elimination.

Choice C rationale:

Administering IV D5/45 NS at 100 mL/hr is a suitable intervention to maintain the patient's fluid and electrolyte balance. It prevents dehydration and supports hemodynamic stability.

Choice D rationale:

The nurse should question the prescription of syrup of ipecac. Ipecac is no longer recommended for use in cases of poisoning due to its potential to cause adverse effects like aspiration, electrolyte imbalances, and delayed treatment. Activated charcoal or gastric lavage may be more appropriate in this situation.

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A mother brought her infant with Down syndrome into the clinic for a well-child checkup. Which statement made by the mother would indicate a need for further education about Down syndrome? "I know my child has an increased risk for developing:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse takes all of these actions when caring for a 13-year-old who just returned from a cardiac catheterization. Which action is incorrect and requires further discussion?

Correct Answer is B

Explanation

A 14-year-old patient is brought unconscious to the emergency room. It is suspected that the patient has deliberately taken an overdose of acetaminophen with 1/2 pint of vodka. The healthcare provider prescribes several interventions. Which intervention should the nurse question?

Correct Answer is D

Explanation

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