The nurse is caring for a child with an intellectual disability due to Down's Syndrome. The nurse understands that it is important to provide developmentally appropriate care. Which of the following will help to meet this need?

Doing everything for the child to decrease the distress of admission

Assessing the child's level of mental maturity, self-help abilities, and habits

Using the child's chronological age as a guide for communication

Speaking only to the mother when explaining all the procedures

Answer and Explanation

The Correct Answer is B

A. Doing everything for the child may increase dependency and does not promote the child's development.
B. Assessing the child's level of mental maturity, self-help abilities, and habits helps the nurse to provide care that is appropriate to the child's developmental level and promotes independence.
C. Using chronological age alone does not consider the child's actual developmental abilities.
D. Speaking only to the mother ignores the child's ability to understand and participate in their own care, regardless of their level of disability.

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Correct Answer is ["A","B"]

Explanation

A. Prolonged seizures are a serious reaction and require immediate medical attention.
B. Decreased level of consciousness is a serious reaction and requires immediate medical attention.
C. Low grade fever is a common and mild reaction to vaccines.
D. Fussiness and crying are common and mild reactions to vaccines.
E. Redness at the site is a common and mild reaction to vaccines.

A. The child's urine output is 190mL in an 8-hour period and their urine is dark brown B. The child is lethargic, confused and complains of a headache and double vision C. The child's BUN, creatinine, and erythrocyte sedimentation rate are elevated D. The child sleeps most of the day, is irritable when awake, and the BP is 138/80

Correct Answer is B

Explanation

A. Decreased urine output and dark brown urine are concerning but not immediately life-threatening.
B. Lethargy, confusion, headache, and double vision are signs of severe hypertension and possibly hypertensive encephalopathy, which require immediate attention.
C. Elevated BUN, creatinine, and ESR are indicative of kidney dysfunction but are not as immediately concerning as neurological symptoms.
D. While elevated BP and irritability are concerning, they are not as immediately critical as the neurological symptoms in option B.

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The nurse is caring for a child with an intellectual disability due to Down's Syndrome. The nurse understands that it is important to provide developmentally appropriate care. Which of the following will help to meet this need?

Nursing Test Bank

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