A nurse is assessing a school-age child who has Down syndrome. For which of the following findings should the nurse notify the provider?

Sparse eyelashes

Reports cracked skin on feet

Reports persistent neck pain

Hyperflexibility

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Sparse eyelashes are a common physical characteristic of individuals with Down syndrome and do not typically require immediate notification of the provider.

Choice B rationale:

Cracked skin on feet is not uncommon, and while it may need attention, it does not generally require immediate notification of the provider.

Choice C rationale:

Persistent neck pain in a child with Down syndrome could indicate an underlying issue and should be reported for further evaluation.

Choice D rationale:

Hyperflexibility is a common feature of Down syndrome and does not typically require immediate notification of the provider.

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Correct Answer is D

Explanation

Choice A rationale:

Monitoring for hearing loss is not a specific action for primary syphilis. Hearing loss can occur in later stages of syphilis.

Choice B rationale:

Contact precautions are not typically required for primary syphilis, as it is primarily transmitted through sexual contact.

Choice C rationale:

Antiviral medications are not used to treat syphilis. Antibiotics are the primary treatment.

Choice D rationale:

Syphilis is a sexually transmitted infection that is required to be reported to the public health department for tracking and control.

A. Client sleeps 6 hr each night. B. Client has a 0.9 kg (2 lb) weight loss from previous week. C. Client has an increase in urine specific gravity D. Client gives personal gifts to other clients.

Correct Answer is A

Explanation

Choice A rationale:

During the manic phase of bipolar disorder, sleep disturbances are common. Setting a goal for the client to achieve an appropriate amount of sleep can help stabilize their mood and reduce the intensity of manic symptoms.

Choice B rationale:

A weight loss goal might be more appropriate during the depressive phase, as manic episodes are often associated with increased energy and decreased appetite.

Choice C rationale:

Increased urine specific gravity is not a specific goal for managing the manic phase of bipolar disorder.

Choice D rationale:

Giving personal gifts to other clients might be a manifestation of the client's manic behavior and is not a goal to strive for.

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A nurse is assessing a school-age child who has Down syndrome. For which of the following findings should the nurse notify the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has primary syphilis. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following goals should the nurse include?

Correct Answer is A

Explanation

A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?

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