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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Reye syndrome causes fatty changes in the liver."

This statement is correct. Reye syndrome is characterized by acute non-inflammatory encephalopathy and fatty changes in the liver, which can lead to liver dysfunction and failure.

B. "Reye syndrome leads to venous thrombus formation."

This statement is incorrect. Reye syndrome primarily affects the brain and liver, leading to cerebral edema and liver dysfunction. It does not typically involve venous thrombus formation.

C. "Reye syndrome is associated with misuse of acetaminophen."

This statement is incorrect. While the exact cause of Reye syndrome is not fully understood, it is not associated with the misuse of acetaminophen. However, there is a well-established association between Reye syndrome and the use of aspirin (salicylates) during viral infections, particularly in children and adolescents.

D. "Reye syndrome is linked to decreased serum ammonia levels."

This statement is incorrect. Reye syndrome is associated with increased serum ammonia levels due to liver dysfunction and impaired ammonia metabolism. Elevated ammonia levels can contribute to the encephalopathy seen in Reye syndrome.

A. Weight gain B. Bradypnea C. Pain D. Diarrhea

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a pediatric clinic is discussing the pathophysiology of Reye syndrome with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicate an understanding of the disorder?

Correct Answer is A

Explanation

A nurse is assessing a child who has sickle cell anemia and is experiencing a vasoocclusive crisis. Which of the following clinical manifestations should the nurse expect?

Correct Answer is C

Explanation

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