A nurse is making a home visit to a 5-year-old child who has cerebral palsy and uses a wheelchair. Which of the following observations made by the nurse indicates that the family needs support and resources to cope with the child's condition?
A grandparent is assisting the child in performing ADLs.
The child is playing a game with their siblings.
The parent is withdrawn and rarely interacts with the child.
The step-parent is helping the child prepare to transition into school.
The Correct Answer is C
Rationale:
A) Involvement of a grandparent in assisting with activities of daily living (ADLs) indicates family support.
B) The child engaging in play with siblings suggests social interaction and family involvement.
C) A withdrawn parent may indicate emotional distress or difficulty coping with the child's condition, necessitating support and resources.
D) The step-parent's involvement in preparing the child for school transition indicates family support and engagement in the child's development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A) Loosening restrictive clothing prevents injury during the seizure.
B) Hyperextending the child's neck can cause injury and should be avoided. Instead, the neck should be supported to maintain an open airway.
C) Timing the seizure episode is important for documenting the duration and for providing accurate information to healthcare providers.
D) Placing the child in a side-lying position helps prevent aspiration and maintains an open airway during the seizure.
E) Restraint should not be applied during a seizure unless absolutely necessary to prevent injury to the child or others.
Correct Answer is C
Explanation
Rationale:
A. While spinal fluid analysis may be necessary in some cases, it is not typically used to confirm a diagnosis of acute lymphoid leukemia (ALL).
B. A complete blood count (CBC) may show abnormalities suggestive of leukemia, but it is not definitive for diagnosis.
C. Bone marrow biopsy is necessary to confirm the diagnosis of acute lymphoid leukemia (ALL) by examining the bone marrow for abnormal cells.
D. Bleeding time is not typically used to diagnose acute lymphoid leukemia (ALL); it assesses platelet function.
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