Which response by the nurse is the most appropriate when parents of a client recently diagnosed with Down syndrome express guilt about causing the condition?

"Down syndrome is a condition caused by an extra chromosome; the cause of it is unknown."

"Down syndrome is a condition that is carried on the X chromosome, so it came from the mother."

"Down syndrome is caused by birth trauma, not by genetics."

"Down syndrome is a condition that is genetically transmitted from both the father and the mother."

Answer and Explanation

The Correct Answer is A

Choice A reason: This response is the most appropriate as it correctly identifies Down syndrome as a genetic condition caused by an extra chromosome and acknowledges that the exact cause of the chromosomal abnormality is unknown.

Choice B reason: This choice is incorrect because Down syndrome is not carried on the X chromosome nor is it inherited from the mother alone.

Choice C reason: This statement is false; Down syndrome is not caused by birth trauma but is a genetic disorder.

Choice D reason: This choice is misleading; while genetics play a role in Down syndrome, it is not typically inherited from both parents in the way this choice suggests.

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Correct Answer is B

Explanation

Choice A reason: Trimming toenails straight across is a general foot care recommendation but is not the most critical for preventing complications from an arterial ischemic leg ulcer.
Choice B reason: This is the correct choice. Daily inspection of the feet for skin breakdown is crucial for early detection and prevention of complications associated with arterial ischemic leg ulcers.
Choice C reason: Keeping legs elevated can help reduce swelling but is not as critical as daily foot inspection for preventing ulcer-related complications.
Choice D reason: Wearing shoes and socks is important for protecting the feet but does not directly prevent complications from an arterial ischemic leg ulcer.

A. Measure the child's temperature and postpone the immunizations if the fever is over 100°F. B. Administer the vaccinations as scheduled. C. Give the infant the flu vaccination but withhold the others. D. Postpone all vaccinations.

Correct Answer is A

Explanation

Choice A reason: It is crucial to assess for fever, as a fever over 100°F after exposure to the flu may indicate an active infection, necessitating the postponement of immunizations.

Choice B reason: Administering vaccinations without assessing the child's health status, especially after known exposure to the flu, could be risky.

Choice C reason: Giving only the flu vaccination ignores the potential risk of the infant currently incubating the flu virus, which could be exacerbated by vaccination.

Choice D reason: While withholding all vaccinations is a cautious approach, it is not necessary unless the infant shows signs of illness, such as a fever over 100°F.

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Which response by the nurse is the most appropriate when parents of a client recently diagnosed with Down syndrome express guilt about causing the condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with an arterial ischemic leg ulcer is being discharged from the hospital. Which instruction is most important for the nurse to include in this client's discharge teaching plan?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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