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.
Need for complete care
Perform self-care activities with supervision
Function independently at all times
Able to perform complex task independently
The Correct Answer is A
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Tracheoesophageal fistula is a congenital anomaly that affects the esophagus and is not associated with abdominal masses or blood and mucus in the stool.
B. Hypertrophic pyloric stenosis typically causes projectile vomiting and failure to thrive, but it does not typically present with an abdominal mass or blood in the stool.
C. Intussusception occurs when part of the intestine telescopes into another part, causing a mass, abdominal pain, and sometimes blood and mucus in the stools, which is consistent with the signs described.
D. Inguinal hernia is a protrusion of abdominal contents into the groin area, not typically associated with abdominal masses in the upper quadrant or blood in the stool.
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.
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