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)

Promote quiet activities and rest

Provide liquids with straws

Closely monitor ABC

Monitor and treat pain

Apply ice collar as ordered

Answer and Explanation

Correct Answer : A,C,D,E

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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Correct Answer is A

Explanation

A. An IQ of 45 is classified as profound intellectual disability. Clients with this score typically require complete care and support in activities of daily living, including personal care, communication, and supervision.
B. While clients with cognitive impairments may perform some self-care activities with supervision, the IQ score of 45 generally indicates a need for significant assistance.
C. Clients with profound intellectual disability are unlikely to function independently at all times.
D. Complex tasks are beyond the capability of individuals with an IQ score of 45, and they would require significant assistance in daily tasks.

A. Trisomy 21 B. Fragile X C. Turners Syndrome D. Williams Syndrome

Correct Answer is B

Explanation

A. Trisomy 21, or Down syndrome, typically presents with features like intellectual disability, a flat facial profile, upward slanting eyes, and a small mouth. The elongated facial structure and ear protrusion are not characteristic of this condition.
B. Fragile X syndrome is associated with developmental delays, autistic behaviors, and distinct physical features such as a long face, large ears, and a prominent jaw. These characteristics are consistent with the child’s presentation.
C. Turner’s syndrome primarily affects females and is characterized by short stature, webbed neck, and gonadal dysgenesis, but it does not typically involve autistic behaviors or elongated facial features.
D. Williams syndrome involves a distinct set of features including a broad forehead, short nose, and full lips. It is not primarily associated with elongated facial features and ear protrusion.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with cognitive impairment (CI) and an IQ score of 45. The nurse should plan client care based on which of the following expectations for an IQ score of 45.

Correct Answer is A

Explanation

A nurse is assessing a 3-year-old child with autistic behaviors, an elongated facial structure, and protrusion of the ears. The nurse suspects that the child may have which of the following syndromes?

Correct Answer is B

Explanation

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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)

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