A nurse is planning care for an infant who has congenital talipes equinovarus. Which of the following referrals should the nurse expect the provider to make?
Ophthalmologist
Nutrition counselor
Speech therapist
Orthopedic specialist
The Correct Answer is D
A. Ophthalmologist: This healthcare professional specializes in the diagnosis and treatment of eye disorders. While eye problems can occur in infants, congenital talipes equinovarus specifically involves foot deformities rather than eye issues. Therefore, a referral to an ophthalmologist wouldn't be appropriate for this condition.
B. Nutrition counselor: A nutrition counselor provides guidance on diet and nutrition-related issues. While nutrition is essential for overall health, it's not directly related to the treatment of congenital talipes equinovarus. Therefore, a referral to a nutrition counselor wouldn't typically be part of the care plan for this condition.
C. Speech therapist: Speech therapists, also known as speech-language pathologists, specialize in evaluating and treating communication and swallowing disorders. However, congenital talipes equinovarus doesn't affect speech or swallowing. Therefore, a referral to a speech therapist wouldn't be relevant for this condition.
D. Orthopedic specialist: An orthopedic specialist is a healthcare professional who specializes in the diagnosis and treatment of musculoskeletal conditions, including congenital abnormalities like clubfoot. They are trained to assess the severity of the deformity and develop a treatment plan, which may include non-surgical or surgical interventions to correct the foot alignment. Therefore, a referral to an orthopedic specialist is the most appropriate choice for an infant with congenital talipes equinovarus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Depressed scalp veins: This is an incorrect choice. In hydrocephalus, there is increased pressure within the skull due to the accumulation of cerebrospinal fluid (CSF). This increased pressure typically leads to distended scalp veins rather than depressed ones.
B. Sunken anterior fontanels: This is an incorrect choice. The fontanel, also known as the soft spot on an infant's head, may actually bulge rather than appear sunken in cases of hydrocephalus due to increased intracranial pressure.
C.Bulging eyes:In individuals with hydrocephalus, especially infants and young children, bulging eyes can sometimes occur.The increased pressure inside the skull can affect various structures within the brain, including the optic nerve and the muscles that control eye movement. This can lead to a condition called papilledema, where the optic nerve becomes swollen due to the pressure. Papilledema can cause changes in vision and, in some cases, contribute to the appearance of bulging eyes.
D.Separated cranial sutures:The separation of cranial sutures in hydrocephalus occurs due to the increased pressure from the excess CSF. This pressure can cause the bones of the skull to move apart, leading to visible gaps or widening of the sutures. Clinically, this can be observed through imaging studies such as CT scans or MRI.
Correct Answer is C
Explanation
A. Weight gain:
Weight gain is not typically associated with vasoocclusive crisis in sickle cell anemia. In fact, individuals may experience dehydration and weight loss due to increased metabolic demands during a crisis.
B. Bradypnea:
Bradypnea, or slow breathing, is not a characteristic feature of vasoocclusive crisis in sickle cell anemia. Respiratory rate may be normal or increased due to pain or compensatory mechanisms.
C. Pain:
This is the correct option. Pain is the hallmark manifestation of vasoocclusive crisis in sickle cell anemia. The pain can occur anywhere in the body but most commonly affects the bones, joints, abdomen, and chest. The severity of pain can vary from mild to severe and may require hospitalization for pain management.
D. Diarrhea:
Diarrhea is not typically associated with vasoocclusive crisis in sickle cell anemia. Gastrointestinal symptoms such as abdominal pain and nausea may occur, but diarrhea is not a common manifestation of vasoocclusive crisis.
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