A nurse is caring for a 3-year-old child with Down Syndrome. Which clinical manifestations should the nurse recognize as associated with Down Syndrome? (SELECT ALL THAT APPLY)

Atlantoaxial Instability

Normal developmental milestones

Congenital hypothyroidism

Frequent respiratory infections

Congenital heart defects

Answer and Explanation

Correct Answer : A,C,D,E

A.   Atlantoaxial instability is a condition that can occur in children with Down syndrome, where the upper spine is less stable, leading to potential neurological complications.
B.   Normal developmental milestones are typically delayed in children with Down syndrome, making this option incorrect.
C.   Congenital hypothyroidism is common in children with Down syndrome, and thyroid function should be regularly monitored.
D.   Children with Down syndrome are at higher risk for frequent respiratory infections due to an altered immune system and other factors.

E.   Congenital heart defects are present in a significant number of children with Down syndrome, making this a key clinical manifestation.

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Correct Answer is C

Explanation

A. Educating the child's parents on hand hygiene is important but not specific to airborne precautions.
B. A surgical mask is not required for a child on airborne precautions unless the child is capable of wearing it.
C. Restricting contact to immune individuals helps prevent the spread of airborne infections, especially in vulnerable settings such as healthcare facilities.
D. Antibiotics should not be given prophylactically unless there is a specific bacterial infection, and airborne precautions are typically used for viral infections like tuberculosis or measles.

A. Promote quiet activities and rest B. Provide liquids with straws C. Closely monitor ABC D. Monitor and treat pain E. Apply ice collar as ordered

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

Explanation

A. Quiet activities and rest should be promoted to ensure the child is not overstimulated and to allow for proper recovery.
B. Liquids should be given without straws to avoid potential injury to the surgical site.
C. Monitoring the airway, breathing, and circulation (ABC) is essential, particularly in the first few hours post-surgery.
D. Pain management is critical to ensure the child’s comfort and to help with healing.
E. Applying an ice collar can help reduce swelling and pain after a tonsillectomy.

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A nurse is caring for a 3-year-old child with Down Syndrome. Which clinical manifestations should the nurse recognize as associated with Down Syndrome? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a 4-year-old child who requires airborne precautions. Which of the following activities should the nurse plan for the child?

Correct Answer is C

Explanation

A nurse is caring for a 5-year-old child who is 3 hours post-operative uncomplicated tonsillectomy. Which of the following actions are appropriate post op care? (SELECT ALL THAT APPLY)

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

Explanation

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