Which statement by the parent of a 10-month-old infant with Down Syndrome indicates the need for further instruction about the child's home care needs?

"I should refeed any thrust out food to my baby.".

"I should avoid using skin lubricants on my baby.".

"I should suction my baby's nose before feedings.".

"I should use minimal soap when bathing my baby.".

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Refeeding any thrust out food to the baby is incorrect as it increases the risk of choking and aspiration. Parents should discard food that the baby has pushed out to prevent potential harm.

Choice B rationale:

Avoiding the use of skin lubricants on the baby is appropriate as these products might irritate the baby's sensitive skin.

Choice C rationale:

Suctioning the baby's nose before feedings is important to ensure proper breathing and effective feeding, especially in infants with Down Syndrome who may have nasal congestion.

Choice D rationale:

Using minimal soap when bathing the baby is appropriate to prevent skin irritation. Babies have delicate skin, and excessive soap can lead to dryness and discomfort.

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Correct Answer is C

Explanation

Choice A rationale:

Threat to body image is not the primary concern for an 8-year-old patient undergoing diagnostic testing for seizures. Seizures are primarily neurological in nature.

Choice B rationale:

Fear of bodily injury might be a concern, but for an 8-year-old patient undergoing diagnostic testing for seizures, the more immediate concern would likely be related to their social interactions and acceptance among peers.

Choice C rationale:

Loss of peer acceptance is the most likely psychological concern for an 8-year-old patient during diagnostic testing. Children at this age are highly conscious of fitting in with their peers, and a medical condition might make them worry about being different.

Choice D rationale:

Separation from parents could be a concern for younger children, but 8-year-olds are generally more independent and less likely to experience extreme separation anxiety.

A. An increasing pulse rate. B. Mouth breathing. C. An increase in nasal discharge. D. A hoarse cry.

Correct Answer is A

Explanation

Choice A rationale:

An increasing pulse rate suggests that the patient's condition is worsening. Tachycardia can indicate increased work of breathing and decreased oxygenation, which are concerning signs in laryngotracheobronchitis.

Choice B rationale:

Mouth breathing is a common response to airway obstruction, such as in laryngotracheobronchitis. While it indicates respiratory distress, it doesn't specifically suggest a worsening of the condition.

Choice C rationale:

An increase in nasal discharge might be seen with the common cold or other upper respiratory infections but is not a specific indicator of worsening laryngotracheobronchitis.

Choice D rationale:

A hoarse cry is a characteristic symptom of laryngotracheobronchitis due to inflammation of the airway. However, it is a common initial symptom and may not directly correlate with worsening of the condition.

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Which statement by the parent of a 10-month-old infant with Down Syndrome indicates the need for further instruction about the child's home care needs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An 8-year-old patient suspected of having seizures is admitted to the hospital for a diagnostic workup. Which psychological concern is the patient most likely to have during diagnostic testing?

Correct Answer is C

Explanation

A patient is admitted from the emergency room with laryngotracheobronchitis. The patient has a brassy cough, stridor, and substernal retractions. The child is receiving an intravenous infusion and is placed in a mist tent. Which observation would indicate a worsening of the patient's condition?

Correct Answer is A

Explanation

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