Author Question: A nurse is assessing a child who has a large head, an elongated face, and prominent ears. Which ... (Read 74 times)

tnt_battle · **on:** Jun 28, 2018

A nurse is assessing a child who has a large head, an elongated face, and prominent ears. Which discharge instruction is most important?

A.
Create a family pedigree so I can assess for Down syndrome.
B.
Please make an appointment with a pediatric cardiologist.
C.
We will call you regarding a referral for genetic testing.
D.
You will need to abstain from alcohol in your next pregnancy.

Question 2

A nurse has identified substance abuse in an adolescent. In addition to a treatment center referral, what other referral is most important?

A.
Counseling for parents
B.
Law enforcement
C.
Mental health provider
D.
Social services agencies

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

Answer to Question 1

ANS: C
This child has manifestations of fragile X syndrome. The family needs to have genetic testing done for this inherited condition. The other instructions are not necessary.

Answer to Question 2

ANS: C
Untreated psychiatric disorders increase the risk of substance abuse, so the family should be referred to a mental health provider. Many treatment centers include this service, but if not, the nurse needs to facilitate this referral. The other referrals are not necessarily needed.