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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?"

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Attempting to "lighten the mood" may invalidate the family's feelings and is inappropriate in this context.

B. Discouraging crying restricts healthy emotional expression and can be harmful.

C. Suggesting cheerful activities may not align with the family's emotional needs during this difficult time.

D. Being available offers emotional support and shows that the nurse respects the family's needs and readiness to grieve.

A. “I’ll rewrap my ankle starting from the knee down." B. “I’ll put a heating pad on my ankle at bedtime tonight." C. "I’ll bear weight on my ankle for 10 minutes every hour." D. "I’ll apply ice to my ankle today and tomorrow."

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing support to a family who is experiencing anticipatory grief related to their child's imminent death. Which of the following is an appropriate nursing intervention?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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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?

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