The nurse is caring for an infant with unilateral clubfoot. Which information should the nurse include in parent education about long-term outcomes?
Normal gait is not fully expected.
Growth and development will be delayed.
Heredity influences the outcome of clubfoot.
Correction will require serial casting
The Correct Answer is D
A. Normal gait can be expected with appropriate management and treatment for clubfoot. With early and effective intervention, many children with clubfoot can achieve a normal gait.
B. Growth and development are not typically delayed as a long-term outcome of clubfoot when it is appropriately managed. The goal of treatment is to achieve normal foot development and function.
C. While heredity can play a role in clubfoot, it is not typically a sole determinant of the outcome. The success of treatment primarily depends on the timeliness and effectiveness of the interventions.
D Correction will require serial casting.
Unilateral clubfoot is a congenital deformity of the foot that can often be effectively managed with non-surgical interventions. Serial casting is a common and successful approach used to gradually correct the deformity. Parents should be informed that serial casting is likely to be a part of the treatment plan for their child's clubfoot.
Therefore, it is essential to educate parents that correction of unilateral clubfoot will likely require serial casting and that with appropriate treatment, the child can achieve a normal gait and experience normal growth and development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
While it is essential to prioritize the client's confidentiality and autonomy, it is also important to provide the client with information and education about the available options. In this case:
A. Telling the client how to receive free oral contraceptives from the clinic without addressing the client's need for information and counseling is not an adequate response. It's essential to ensure the client is well-informed about her choices.
B. Encouraging the client to discuss her need for contraceptives with her parents is a valid suggestion, but it may not always be practical or possible for every individual, and the client has already expressed her desire for confidentiality. The nurse should respect the client's autonomy and right to make her own healthcare decisions.
C. Explaining that parental approval is needed to receive contraceptives may discourage the client from seeking essential contraceptive services and may not align with the laws and regulations in many places that allow minors to access contraceptives confidentially.
D. Counseling the client about the risks and benefits of using oral contraceptives is an important step. This allows the client to make an informed decision about her sexual health and contraceptive options. The nurse should also discuss safer sex practices, regular healthcare check-ups, and the importance of open communication with healthcare providers.
Correct Answer is D
Explanation
A. Encourage the parents to rest when possible.While ensuring that parents get rest is important for overall family well-being, this intervention does not directly address the child's immediate symptoms.
B. Apply lotion to hands and feet.Applying lotion can help soothe the discomfort associated with skin peeling. However, this intervention is more supportive and addresses a later concern. It does not directly alleviate the child's irritability or refusal to eat.
C. Make a list of foods that the child likes.This intervention focuses on improving the child's nutritional intake by offering familiar foods. However, if the child is irritable and overstimulated, their refusal to eat may be due to discomfort or distress. Addressing the irritability first may improve their willingness to eat.
D. Place the child in a quiet environment.Children with Kawasaki disease often experience irritability due to discomfort, fever, and the overall systemic effects of the illness. Creating a quiet environment helps reduce sensory stimulation, which can soothe the child and decrease irritability.
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