A home health nurse is developing a plan of care for a child diagnosed with hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?

Foster self-care activities.

Provide respite services for the parents.

Modify the environment.

Improve the client's communication skills.

Answer and Explanation

The Correct Answer is A

A.   Encouraging self-care activities helps promote independence and improve the quality of life for a child with hemiplegic cerebral palsy. It focuses on maximizing the child's potential for autonomy.
B.   Respite care is important for caregiver support, but fostering self-care activities for the child is a higher priority for long-term development.
C.   Modifying the environment is useful for safety and mobility but does not address the child’s ability to perform self-care, which is a key aspect of daily functioning.
D.   While communication skills are important, fostering self-care activities takes precedence in
supporting the child’s independence.

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Correct Answer is D

Explanation

A. Antibiotics are not indicated for coarctation of the aorta.
B. Monitoring is important, but the immediate action is to notify the cardiologist for further intervention.
C. Balloon angioplasty is a potential treatment for coarctation of the aorta but would be decided by the cardiologist after assessment.
D. Coarctation of the aorta causes a narrowing of the aorta, leading to differences in blood pressure and pulse strength between the upper and lower extremities. The nurse should notify the cardiologist for further evaluation and management.

A. Temperature of the cast B. Skin integrity around the cast C. Range of motion of the affected limb D. Child's pain level

Correct Answer is B

Explanation

A. The temperature of the cast is important to check for heat retention but is not the first priority for infection control.
B. Assessing skin integrity around the cast is a priority to detect signs of infection, irritation, or pressure sores.
C. Range of motion is important but should be assessed once the skin and safety around the cast are ensured.
D. While pain level is important, ensuring skin integrity is a higher priority for preventing complications such as infection.

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A home health nurse is developing a plan of care for a child diagnosed with hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A child with a cast is at risk for complications. Which of the following assessment findings should the nurse prioritize in ensuring safety and infection control?

Correct Answer is B

Explanation

A nurse on a cardiac care unit is caring for a preschooler Exhibits select words from the choices below to fill in each blank in the following The client is at risk for developing dropdown and dropdown

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