The clinic nurse talks with the parent of a child with Down syndrome. The parent states, "I thought my 1-year-old would be walking by now. I am concerned." What response by the nurse is best?
"Milestones are often delayed for children with Down Syndrome."
"We should ask a physical therapist to address your concern."
"How many other children do you and your husband have?"
"How old was your child when he or she first begin to smile?"
The Correct Answer is A
A. Children with Down syndrome often experience developmental delays, and explaining this helps reassure the parent.
B. While a physical therapist may be helpful, the nurse should first address the parent's concerns with information.
C. Asking about siblings does not address the parent's specific concern.
D. Asking about other milestones may shift focus away from the parent's immediate worry.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Wrapping from the knee down is incorrect; the ankle should be wrapped from the toes up to provide proper compression.
B. Heat is not recommended immediately after a sprain, as it may increase swelling.
C. Bearing weight on the ankle too soon could worsen the injury.
D. Applying ice for the first 48 hours helps reduce swelling and pain, so this is the correct statement.
Correct Answer is ["500"]
Explanation
To calculate the dose of hydroxyurea for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 55 pounds, which is equivalent to 25 kilograms (55 ÷ 2.2). Then, multiply the weight in kilograms by the dose prescribed, which is 20 mg/kg. So, the calculation would be 25 kg × 20 mg/kg, which equals 500 mg.
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