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A nurse is admitting a 10-year-old child with Trisomy 21 (Down syndrome) of Asian descent to the pediatric inpatient unit for acute appendicitis. The nurse is gathering data regarding the cultural considerations that should be included in the plan of care. Which of the following actions by the nurse demonstrates appropriate cultural considerations for this child?

Incorporating traditional housing practices that were introduced to the nurse by another child's parents of Asian descent last month.

Assuming that since the child's parents have brought the child to a hospital that practices western medicine, traditional healing practices are not important to their culture

Asking the child's parents if they use any traditional healing practices that the healthcare team should be aware of.

Providing the same care to this child as they would provide to every other child they provide care to.

Answer and Explanation

The Correct Answer is C

A. Incorporating traditional housing practices that were introduced to the nurse by another child's parents of Asian descent last month. Assuming that all families of Asian descent share the same cultural beliefs or practices ignores individual and regional differences. Each family has unique traditions and preferences that should be discussed directly with them.

B. Assuming that since the child's parents have brought the child to a hospital that practices Western medicine, traditional healing practices are not important to their culture. Seeking Western medical care does not mean that a family has abandoned their cultural beliefs or traditional healing practices. Many families integrate both Western and traditional approaches to healthcare.

C. Asking the child's parents if they use any traditional healing practices that the healthcare team should be aware of. This is the correct answer because it respects cultural diversity and allows the parents to share relevant information. Open-ended questions about cultural practices help incorporate family preferences into the child’s care while ensuring safe and effective treatment.

D. Providing the same care to this child as they would provide to every other child they provide care to. While consistent quality care is important, culturally competent care recognizes individual differences and respects each family’s beliefs and preferences. A one-size-fits-all approach fails to acknowledge cultural diversity in healthcare.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. "Intussusception is a congenital condition where the layers of the intestinal wall do not form properly." Intussusception is not a congenital malformation but an acquired condition where one part of the intestine telescopes into another, causing obstruction and potential ischemia.

B. "Intussusception is a consequence of weakened abdominal muscles, allowing a portion of the intestine to bulge." This description is more characteristic of a hernia rather than intussusception, which involves the invagination of the intestine rather than a protrusion.

C. "Intussusception results from the twisting of the intestines, causing a blockage in the passage of food." Twisting of the intestines describes volvulus, a separate condition that can also cause bowel obstruction but occurs through a different mechanism than intussusception.

D. "Intussusception occurs when one segment of the intestine slides into another, which can cut off blood supply." This is the correct explanation. The telescoping of the intestine can cause bowel obstruction and compromise blood flow, leading to symptoms such as severe abdominal pain, vomiting, and the passage of red, currant jelly-like stools.

A. Delayed motor development B. Lung defects C. Scoliosis D. Insomnia E. Muscle weakness

Correct Answer is ["A","C","E"]

Explanation

A. Delayed motor development. Children with muscular dystrophy often experience delayed milestones, such as difficulty walking, running, or climbing stairs. This is due to progressive muscle weakness, which affects motor skill acquisition.

B. Lung defects. While respiratory muscle weakness can occur in later stages of muscular dystrophy, congenital lung defects are not a primary characteristic of the condition. Respiratory complications typically arise due to muscle deterioration rather than structural lung defects.

C. Scoliosis. Progressive muscle weakness leads to postural instability, increasing the risk of scoliosis (abnormal spinal curvature). This is particularly common in Duchenne muscular dystrophy (DMD) as the muscles supporting the spine weaken.

D. Insomnia. Sleep disturbances are not a primary symptom of muscular dystrophy. However, respiratory complications or discomfort in later stages may contribute to sleep issues, but insomnia is not a defining feature.

E. Muscle weakness. Progressive muscle weakness is the hallmark of muscular dystrophy. It typically starts in the proximal muscles (hips, thighs, shoulders) and worsens over time, leading to mobility challenges and loss of independence.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing education to parents of an infant who has intussusception. Which of the following statements would the nurse provide to the parents?

Correct Answer is D

Explanation

A nurse is collecting data from a child who has been diagnosed with muscular dystrophy. Which of the following findings should the nurse expect? (Select All that Apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is providing care for an infant who has heart failure and is being discharged from the hospital. When reinforcing discharge education, which of the following clinical manifestations should the nurse ensure caregivers are able to identify as signs of worsening heart failure?

A nurse is reinforcing education to the parents of a newborn who has Down syndrome. Which of the following actions should the nurse take?

A nurse is caring for a child who has a new diagnosis of immune thrombocytopenia. Which of the following information regarding implications of the diagnosis should the nurse reinforce in the discharge instructions?

A nurse is discussing contraceptives with an adolescent who has disabilities. The adolescent has difficulty with motor movements and decreased memory. Which of the following birth control methods would be most appropriate for this child?

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