A nurse is caring for a client with cognitive impairment (CI) and an IQ score of 45. The nurse should plan client care based on which of the following expectations for an IQ score of 45.
Need for complete care
Perform self-care activities with supervision
Function independently at all times
Able to perform complex task independently
The Correct Answer is A
A. An IQ of 45 is classified as profound intellectual disability. Clients with this score typically require complete care and support in activities of daily living, including personal care, communication, and supervision.
B. While clients with cognitive impairments may perform some self-care activities with supervision, the IQ score of 45 generally indicates a need for significant assistance.
C. Clients with profound intellectual disability are unlikely to function independently at all times.
D. Complex tasks are beyond the capability of individuals with an IQ score of 45, and they would require significant assistance in daily tasks.
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Related Questions
Correct Answer is C
Explanation
A. While strabismus may be treated with interventions such as patching, it is not always immediately concerning in newborns. The nurse should first provide accurate information about normal development.
B. Taking the baby to the nursery may not be necessary unless the child’s condition worsens or there is a
clear concern. A thorough assessment and explanation by the nurse are more appropriate.
C. Strabismus is common in newborns due to the immaturity of eye muscle control and usually resolves as the child develops. This is the most therapeutic response as it provides reassurance based on developmental norms.
D. Calling the primary care provider might be premature unless the nurse identifies a significant concern beyond normal development.
Correct Answer is C
Explanation
A. Assessing vital signs, including temperature and oxygen saturation, is appropriate for monitoring the child's condition and identifying any signs of respiratory distress or infection.
B. Gathering necessary supplies for possible intubation is a proactive measure in case the child experiences airway obstruction. Acute epiglottitis can lead to rapid deterioration in the child's airway.
C. Assessing the child's throat using a tongue blade can trigger airway obstruction in a child with acute epiglottitis, which is a medical emergency. The throat should not be examined visually due to the risk of causing a spasm or obstruction.
D. Reporting an elevated white blood count is a normal part of managing acute infections, such as epiglottitis, and should be done to inform the healthcare provider of the patient's condition.
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