The nurse is teaching the parents of a child with Trisomy 21. Which topic will the nurse include in the teaching plan?

Encourage the parents to home school the child.

Teach the parents about the need for a high-fibre diet.

Instruct the parents on the need for yearly dental visits.

Advise the parents that the child will need monthly thyroid testing.

Answer and Explanation

The Correct Answer is D

Choice A reason: While some parents may choose to home school their child, this is a personal decision and not a standard recommendation for all children with Trisomy 21. Educational needs should be tailored to the individual child's abilities and preferences, and many children with Trisomy 21 attend public or private schools with appropriate support.

Choice B reason: Teaching the parents about the need for a high-fibre diet is important for overall health but is not specific to Trisomy 21. While children with Trisomy 21 may benefit from a balanced diet, the need for monthly thyroid testing is more directly related to managing their condition.

Choice C reason: Instructing the parents on the need for yearly dental visits is essential for maintaining oral health, but it is not the most critical aspect specific to Trisomy 21. Regular dental check-ups are recommended for all children, regardless of whether they have Trisomy 21.

Choice D reason: Advising the parents that the child will need monthly thyroid testing is crucial because children with Trisomy 21 are at an increased risk for thyroid disorders. Regular monitoring of thyroid function is essential for early detection and management of hypothyroidism or hyperthyroidism, which can significantly impact growth and development.

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Correct Answer is B

Explanation

Choice A reason: Misoprostol is used to induce Labor and is not typically used to manage irregular contractions at 32 weeks gestation.

Choice B reason: Magnesium Sulphate is often used in cases of preterm Labor to relax the uterine muscles and prevent contractions, thereby helping to delay delivery and reduce the risk of complications for the baby.

Choice C reason: Butorphanol is a pain reliever and is not typically used to manage irregular contractions in pregnancy.

Choice D reason: Metoprolol is a beta-blocker used to treat high blood pressure and other heart conditions, but it is not used to manage irregular contractions in pregnancy.

Choice E reason: "Tint" is not a medication and does not relate to the management of irregular contractions in pregnancy.

A. Allow medical staff to make the plan of care decisions. B. Assessing the family's home environment. C. Arranging the necessary care equipment and supplies. D. Referring to financial support.

Correct Answer is A

Explanation

Choice A reason: Allowing medical staff to make the plan of care decisions without involving the patient and their family indicates a lack of patient-cantered care, which is a critical component in effective discharge planning. The patient and family members should be actively involved in the decision-making process to ensure that the plan of care aligns with their needs, preferences, and unique circumstances. Education on the importance of collaboration and shared decision-making in care planning is essential.

Choice B reason: Assessing the family's home environment is a necessary step in discharge planning. This intervention ensures that the patient will have a safe and supportive environment to return to, which can significantly impact their recovery and well-being. It includes evaluating factors such as accessibility, availability of caregivers, and any potential hazards that might affect the patient's health.

Choice C reason: Arranging the necessary care equipment and supplies is an important part of discharge planning to ensure that the patient has all the resources needed to continue their care at home. This includes medical equipment, medications, and other supplies that support the patient's health and recovery. Proper planning and arrangement of these resources prevent gaps in care and promote a smooth transition from hospital to home.

Choice D reason: Referring to financial support is a critical intervention, especially for patients with complex medical histories who may face significant healthcare costs. Financial support can help alleviate the burden of medical expenses and ensure that the patient has access to necessary services and treatments. The nursing student needs to understand the importance of connecting patients with financial resources and support programs.

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The nurse is teaching the parents of a child with Trisomy 21. Which topic will the nurse include in the teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient at 32 weeks gestation experiencing irregular contractions. Which medication order will the nurse anticipate being included in the plan of care?

Correct Answer is B

Explanation

The nursing student is creating a plan of care for a patient with a complex medical history. Which discharge intervention will require further education by the nursing instructor?

Correct Answer is A

Explanation

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