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A nurse is reinforcing teaching to the parents of a 6-year-old child who has fragile X-syndrome and is manifesting cognitive delays. Which of the following statements concerning coordination of care should the nurse reinforce?

“You should focus solely on cognitive development at home, as professional interventions are not effective for children with fragile X syndrome."

“Since your child has cognitive delays, you should avoid social activities that could overwhelm them and hinder their progress."

"It's important to work with a multidisciplinary team to address your child's cognitive delays and support their development.”

“Cognitive delays in children with fragile X syndrome typically resolve on their own, so there is no need for specialized educational plans or therapies."

Answer and Explanation

The Correct Answer is C

A. "You should focus solely on cognitive development at home, as professional interventions are not effective for children with fragile X syndrome." This is incorrect. Professional interventions, including speech therapy, occupational therapy, and behavioral therapy, are essential for supporting cognitive and social development in children with fragile X syndrome.

B. "Since your child has cognitive delays, you should avoid social activities that could overwhelm them and hinder their progress." Avoiding social activities can actually be harmful, as children with fragile X syndrome benefit from structured social interactions and support. Instead of avoidance, individualized strategies should be used to help the child participate comfortably.

C. "It's important to work with a multidisciplinary team to address your child's cognitive delays and support their development." This is correct. A multidisciplinary team, including special education teachers, therapists, and healthcare providers, helps ensure the child receives individualized support in cognitive, social, and communication skills.

D. "Cognitive delays in children with fragile X syndrome typically resolve on their own, so there is no need for specialized educational plans or therapies." Cognitive delays in fragile X syndrome do not resolve on their own. Early intervention and specialized education plans (e.g., IEPs) are crucial in maximizing the child’s potential.

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Correct Answer is ["4"]

Explanation

Formula:

Volume to administer (mL) = (Desired dose (mg) / Available concentration (mg/mL))

Desired dose = 320 mg

Available concentration = 400 mg / 5 mL

Calculate the concentration per mL:

400mg / 5mL

= 80 mg/mL

Apply the formula:

Volume to administer = 320 mg / 80 mg/mL

=4ml

The nurse should administer 4 mL per dose.

A. "Palliative care should be given separately from curative care." B. "Clinicians should participate in the discussion with the family about the child's prognosis." C. "Parents who express hope of their child surviving are less accepting of palliative care." D. "Palliative care should be offered once a child has less than 6 months to live."

Correct Answer is B

Explanation

A. "Palliative care should be given separately from curative care." Palliative care can be provided alongside curative treatments to enhance comfort and quality of life. It is not limited to end-of-life care but focuses on symptom management and emotional support throughout the illness.

B. "Clinicians should participate in the discussion with the family about the child's prognosis." Open, honest, and compassionate communication between healthcare providers and families is crucial. Clinicians help families understand the prognosis, treatment options, and goals of care, ensuring informed decision-making.

C. "Parents who express hope of their child surviving are less accepting of palliative care." Parents can hope for a cure while still accepting palliative care to improve their child's comfort and quality of life. Hope and palliative care are not mutually exclusive.

D. "Palliative care should be offered once a child has less than 6 months to live." Palliative care is not limited to a specific timeframe. It can begin at diagnosis of a serious illness and continue throughout treatment, rather than being restricted to end-of-life care.

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A nurse is reinforcing teaching to the parents of a 6-year-old child who has fragile X-syndrome and is manifesting cognitive delays. Which of the following statements concerning coordination of care should the nurse reinforce?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["4"]

Explanation

A nurse is reinforcing teaching to a newly hired nurse about the management of care for the terminal illness of a child. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

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