The nurse is preparing to discharge an 18-month-old patient who has been in the hospital for repair of a cleft palate. Which statement is most appropriate for discharge teaching with the patient's mother?

Your child may want to be close to you most of the time for a while.

It would be a good idea to have your child sleep with you in your bed for a week or so after the child goes home.

You may find that your child is much more independent than before hospitalization.

Because of the attention your child has received in the hospital, you may need to set stricter limits than those in place before hospitalization.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

After undergoing cleft palate repair, it's appropriate to inform the mother that her child may want to be close to her most of the time. The child might feel more secure in the presence of their caregiver during the recovery period.

Choice B rationale:

Having the child sleep in the same bed is not typically recommended due to safety concerns, especially after surgery.

Choice C rationale:

Increased independence is not a common immediate response after hospitalization, especially for a young child recovering from surgery.

Choice D rationale:

While attention during hospitalization is important, it wouldn't necessarily translate to the need for stricter limits. Post-hospitalization care should focus on the child's comfort and recovery rather than punitive measures.

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Correct Answer is D

Explanation

Choice A rationale:

X-linked dominant disorders are characterized by a mutation on the X chromosome that results in the expression of the trait in both males and females. Hemophilia, however, is more commonly associated with males, which is not consistent with an X-linked dominant pattern.

Choice B rationale:

Autosomal recessive disorders require the inheritance of two mutated alleles, one from each parent, to express the trait. Hemophilia does not follow this pattern, as the patient's sisters do not have the condition despite having affected parents.

Choice C rationale:

Autosomal dominant disorders only require the inheritance of one mutated allele from an affected parent to express the trait. Hemophilia does not align with an autosomal dominant pattern, as the patient's sisters would likely be affected if it were.

Choice D rationale:

Hemophilia is a classic example of an X-linked recessive disorder. The gene responsible for producing clotting factor is located on the X chromosome, and males have only one X chromosome, making them more susceptible to the disorder. Females, with two X chromosomes, usually act as carriers unless both X chromosomes carry the mutation.

A. "My child will no longer be affected by this condition once we start physical therapy.”. B. "It will be optimal to have a multidisciplinary approach for the best outcomes.”. C. "There are multiple options for treatment including medications, surgeries, and braces.”. D. "I should expect socialization with children who do not have cerebral palsy in school.".

Correct Answer is A

Explanation

"My child will no longer be affected by this condition once we start physical therapy.”.

Choice A rationale:

Cerebral palsy is a lifelong condition that affects muscle control and movement. Physical therapy can improve functionality, but it cannot completely cure or eliminate the condition. This statement demonstrates a misunderstanding of the nature of cerebral palsy.

Choice B rationale:

Choice B is accurate. Cerebral palsy management often involves a multidisciplinary approach including physical therapy, occupational therapy, and other interventions to achieve the best outcomes.

Choice C rationale:

Choice C is correct. There are indeed various treatment options for cerebral palsy, including medications, surgeries, and braces, depending on the severity and specific needs of the individual.

Choice D rationale:

The statement in Choice D is accurate. Inclusion and socialization with typically developing peers is encouraged, and schools often promote interactions among children with and without disabilities.

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The nurse is preparing to discharge an 18-month-old patient who has been in the hospital for repair of a cleft palate. Which statement is most appropriate for discharge teaching with the patient's mother?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

Which statement, if made by a caregiver of a 2-year-old child diagnosed with cerebral palsy requires further discussion?

Correct Answer is A

Explanation

A patient has a neurogenic bladder with incomplete emptying. Which discharge instruction for the patient's mother should be included in the teaching plan?

A patient is started on prednisone therapy. Which of these goals should be given priority in the patient's plan of care?

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A 15-year-old patient with hemophilia is admitted with hemarthrosis. Which nursing action should be implemented?

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