The nurse is assessing a child with Down syndrome. The child is ...

[Yolanda]

The nurse is assessing a child with Down syndrome. The child is at greater risk of developing which illness than children who do not have Down syndrome?
 
  1. Rheumatic heart disease
  2. Glomerulonephritis
  3. Leukemia
  4. Hepatitis

Question 2

A child must wear a brace for correction of scoliosis. Which nursing diagnosis takes priority at this time?
 
  1. Impaired gas exchange, risk for
  2. Altered growth and development, risk for
  3. Impaired skin integrity, risk for
  4. Impaired mobility, risk for

[chjcharjto14]

Answer to Question 1

3
Rationale 1: Heart defects might be seen with Down syndrome, but not rheumatic heart disease, which is associated with Group A beta-hemolytic streptococcus infection.
Rationale 2: Glomerulonephritis is not seen in association with Down syndrome.
Rationale 3: Children with Down syndrome have a significantly higher than average risk of developing leukemia.
Rationale 4: Hepatitis is not associated with Down syndrome.
Global

Answer to Question 2

3
Rationale 1: Risk for impaired gas exchange is a late effect of scoliosis and would not be the priority. If the patient is compliant with wearing the brace, the risk should be minimized.
Rationale 2: The diagnosis of altered growth and development would not be the priority and should be corrected by the wearing of the brace.
Rationale 3: The skin should be monitored for breakdown in any area where the brace might rub against the skin.
Rationale 4: The diagnosis of impaired mobility would not be the priority and should be corrected if the patient is compliant with wearing the brace.
Global Rationale: