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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Liver enzymes should be checked before starting. Some anticonvulsants, such as valproic acid and carbamazepine, can affect liver function. Baseline liver enzyme testing is recommended before starting therapy to monitor for potential hepatotoxicity.
B. Consult the prescriber for any dose adjustments. Anticonvulsants require careful dose titration based on the child's response, side effects, and therapeutic drug levels. The prescriber should be consulted for any necessary adjustments.
C. Do not take with anti-anxiety medications. While caution is needed when combining CNS depressants, anticonvulsants can sometimes be used alongside anti-anxiety medications if prescribed and monitored by a healthcare provider. The statement is too restrictive and does not apply universally.
D. Do not take the medication longer than a week. This is incorrect. Anticonvulsants prescribed for chronic pain management may be used for extended periods under medical supervision. Discontinuing the medication too soon can reduce effectiveness and may require a gradual taper.
E. An increased risk of suicide is associated with this medication. Certain anticonvulsants, including gabapentin, pregabalin, and carbamazepine, carry an FDA warning for an increased risk of suicidal thoughts and behaviors. Monitoring for mood changes, depression, or suicidal ideation is important.
Correct Answer is B
Explanation
A. Frequent assessments of blood glucose levels. While hypothyroidism can affect metabolism, levothyroxine does not typically require frequent blood glucose monitoring unless the client has diabetes or another metabolic condition.
B. Routine monitoring of thyroid-stimulating hormone (TSH) levels. TSH is the primary indicator used to assess whether levothyroxine dosage is effective. Routine TSH monitoring ensures that thyroid hormone levels remain within the target range, preventing complications such as under-treatment (persistent hypothyroid symptoms) or over-treatment (hyperthyroid symptoms like palpitations and weight loss).
C. Regular monitoring of blood pressure. While thyroid dysfunction can affect blood pressure, routine BP monitoring is not the primary focus of hypothyroidism management unless the client has additional risk factors for hypertension.
D. Continuous monitoring of body temperature. Hypothyroidism can cause cold intolerance, but continuous body temperature monitoring is not necessary unless the client is at risk for severe hypothyroidism complications such as myxedema coma.
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