A nurse is assessing a child who has a large head, an elongated ...

[tnt_battle]

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]

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.

[tnt_battle]

TYSM

[nanny]

Excellent