Author Question: The nurse teaches children with genetic disorders ways to maintain health and avoid complications. ... (Read 59 times)

vinney12 · **on:** Jun 28, 2018

The nurse teaches children with genetic disorders ways to maintain health and avoid complications. The nurse will teach children with which genetic disorder to follow medical guidelines and maintain penicillin prophylaxis?

1. Sickle-cell disease
2. Hereditary idiopathic scoliosis
3. Klinefelter's syndrome
4. Recklinghausen's disease

Question 2

The school nurse is seeing a 5-year-old child who requires oxygen and tube-feeding. The nurse evaluates the child as:

1. Mentally handicapped.
2. Medically fragile.
3. Developmentally delayed.
4. No special care needed.

itsakadoozi · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1
Rationale 1: The client with sickle-cell disease needs penicillin prophylaxis to avoid complications of infection.
Rationale 2: The client with idiopathic scoliosis is experiencing an orthopedic deviation and does not need prophylactic penicillin.
Rationale 3: The client with Klinefelter's syndrome has a chromosomal alteration that does not require prophylactic penicillin.
Rationale 4: The client with Recklinghausen's disease has a genetic disorder affecting neural tissues that does not have complications that can be prevented by penicillin prophylaxis.
Global Rationale:

Answer to Question 2

2
Rationale:
1. There is no indication that this 5 year-old is cognitively delayed. The words mentally handicapped are no longer considered appropriate descriptors of children who are cognitively delayed.
2. A child who is dependent on medical devices or supplies for survival or prevention of further disability is medically fragile.
3. There is no indication that this child is not developing at a normal pace.
4. Special care is needed for this child, as oxygen and tube feedings are required.