When working with parents who have a child diagnosed with cerebral palsy, which therapeutic management goals should be included in the plan of care? Select all that apply.
Limit socialization to children affected with a similar type of cerebral palsy.
Provide educational opportunities that are individualized to the child's needs and abilities.
Support and maintain locomotion, communication, and self-help skills.
Decrease stimulation by keeping the child home in a quiet environment.
Correct Answer : B,C
Rationale:
A. Socialization should not be limited. Children with cerebral palsy benefit from interacting with a diverse range of peers to promote inclusion and development.
B. Individualized education plans (IEPs) are essential for meeting the child’s unique learning needs and promoting academic achievement.
C. A primary goal in managing cerebral palsy is to enhance and maintain the child’s functional abilities including movement, communication, and self-care to promote independence.
D. Reducing stimulation by isolating the child can negatively impact development. Children with CP should be included in stimulating environments that encourage growth and engagement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Congenital hypothyroidism often presents with features such as a large, protruding tongue, poor feeding, lethargy, and hypotonia.
B. Hypoparathyroidism typically presents with hypocalcemia-related symptoms like tetany, seizures, or muscle cramps, not a large tongue.
C. Hyperparathyroidism is rare in infants and more likely to present with symptoms related to high calcium levels such as vomiting, constipation, or lethargy.
D. Hyperthyroidism usually causes increased metabolism, irritability, weight loss, and tachycardia — not a protruding tongue.
Correct Answer is B
Explanation
Rationale:
A. NPH is an intermediate-acting insulin and is not suitable for insulin pumps due to its unpredictable absorption and tendency to clog pump tubing.
B. Regular insulin is a short-acting insulin and is commonly used in insulin pumps because it has a predictable onset and duration, allowing for precise dosing.
C. Glargine is a long-acting insulin and cannot be delivered via an insulin pump, which requires rapid or short-acting insulins.
D. Premixed regular and NPH insulin is not used in pumps due to the combination of insulins with different action profiles and risks of clogging the device.
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