What information should a nurse plan to give the parents of a child newly diagnosed with cognitive impairment (mental retardation)?

Avoid setting limits or establishing disciplinary guidelines.

Encourage the child to socialize with same-aged children.

Avoid discussing sexuality until the child is an adult.

Encourage delaying the child's entry into educational programs.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Avoid setting limits or establishing disciplinary guidelines is not appropriate. Children with cognitive impairment require structure and consistent boundaries to ensure their safety and development.

Choice B rationale:

Encouraging the child to socialize with same-aged children is important for their social and emotional development. Interaction with peers fosters communication skills and helps them integrate into society.

Choice C rationale:

Avoid discussing sexuality until the child is an adult may lead to misinformation and confusion. Addressing sexuality in an age-appropriate manner is vital to help the child develop a healthy understanding of their body and relationships.

Choice D rationale:

Encouraging delaying the child's entry into educational programs hinders their cognitive and intellectual growth. Early intervention and tailored educational programs are crucial for children with cognitive impairment to reach their full potential.

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Correct Answer is B

Explanation

Choice A rationale:

The statement about an increased risk for developing obesity is accurate. However, this does not indicate a need for further education about Down syndrome, as obesity is a common concern in the general population as well.

Choice B rationale:

The statement about an increased risk for developing diabetes would indicate a need for further education. Individuals with Down syndrome are indeed at an elevated risk of developing diabetes, often in their early adulthood.

Choice C rationale:

The statement about an increased risk for developing cataracts is accurate. However, it is not a primary concern associated with Down syndrome in infancy.

Choice D rationale:

The statement about skeletal abnormalities is accurate. While individuals with Down syndrome can have certain skeletal features, this is not a critical concern during infancy.

A. Prevent contractures of his hips and knees. B. Minimize his cardiac output. C. Minimize his energy expenditure. D. Prevent vomiting.

Correct Answer is C

Explanation

Choice A rationale:

Preventing contractures of the hips and knees is not directly related to the care of a pediatric patient with congestive heart failure (CHF). CHF primarily involves impaired cardiac function and fluid retention, not joint contractures.

Choice B rationale:

Minimizing cardiac output would be counterproductive in the care of a patient with CHF. The goal is to optimize cardiac output to meet the body's demands while managing the symptoms of CHF.

Choice C rationale:

Minimizing energy expenditure is a major goal in the care of a pediatric patient with CHF. CHF places an extra workload on the heart, and conserving energy helps prevent additional strain on the heart, allowing it to function more efficiently.

Choice D rationale:

Preventing vomiting is not a specific goal related to the care of a pediatric patient with CHF. Vomiting might be a symptom of CHF, but the primary focus is on managing cardiac function and fluid balance.

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What information should a nurse plan to give the parents of a child newly diagnosed with cognitive impairment (mental retardation)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A mother brought her infant with Down syndrome into the clinic for a well-child checkup. Which statement made by the mother would indicate a need for further education about Down syndrome? "I know my child has an increased risk for developing:.

Correct Answer is B

Explanation

A nurse is caring for a pediatric patient with congestive heart failure (CHF). What major goal should the nurse include in the care of this patient?

Correct Answer is C

Explanation

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