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Which manifestation should the nurse expect to find in a child with Down syndrome?

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250 questions, answers, and explanations are offered in this sample exam from the 2013 edition of NCLEX-RN Exam Cram.

  • A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the following outcome criteria would the nurse use?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Body temperature of 99°F or less

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Toes moved in active range of motion

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Sensation reported when soles of feet are touched

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Capillary refill of < 3 seconds

    Quick Answer: 223

    Detailed Answer: 225

  • A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Side-lying with knees flexed

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Knee-chest

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    High Fowler’s with knees flexed

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Semi-Fowler’s with legs extended on the bed

    Quick Answer: 223

    Detailed Answer: 225

  • A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Taking hourly blood pressures with mechanical cuff

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Encouraging fluid intake of at least 200mL per hour

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Position in high Fowler’s with knee gatch raised

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Administering Tylenol as ordered

    Quick Answer: 223

    Detailed Answer: 225

  • Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Steak

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Cottage cheese

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Popsicle

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Lima beans

    Quick Answer: 223

    Detailed Answer: 225

  • A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse’s assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Adjust the room temperature

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Give a bolus of IV fluids

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Start O2

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Administer meperidine (Demerol) 75mg IV push

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Roast beef, gelatin salad, green beans, and peach pie

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Chicken salad sandwich, coleslaw, French fries, ice cream

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Pork chop, creamed potatoes, corn, and coconut cake

    Quick Answer: 223

    Detailed Answer: 225

  • Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    A family vacation in the Rocky Mountains

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Chaperoning the local boys club on a snow-skiing trip

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Traveling by airplane for business trips

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    A bus trip to the Museum of Natural History

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Enlarged spleen

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Elevated blood pressure

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Bradycardia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Beefy tongue

    Quick Answer: 223

    Detailed Answer: 225

  • The body part that would most likely display jaundice in the dark-skinned individual is the:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Conjunctiva of the eye

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Soles of the feet

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Roof of the mouth

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Shins

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    BP 146/88

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Respirations 28 shallow

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Weight gain of 10 pounds in six months

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Pink complexion

    Quick Answer: 223

    Detailed Answer: 226

  • The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    “I will drink 500mL of fluid or less each day.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    “I will wear support hose.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    “I will check my blood pressure regularly.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    “I will report ankle edema.”

    Quick Answer: 223

    Detailed Answer: 226

  • A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The client collects stamps as a hobby.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The client recently lost his job as a postal worker.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The client had radiation for treatment of Hodgkin’s disease as a teenager.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The client’s brother had leukemia as a child.

    Quick Answer: 223

    Detailed Answer: 226

  • Where is the best site for examining for the presence of petechiae in an African American client?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The abdomen

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The thorax

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The earlobes

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The soles of the feet

    Quick Answer: 223

    Detailed Answer: 226

  • The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    “Have you noticed a change in sleeping habits recently?”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    “Have you had a respiratory infection in the last six months?”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    “Have you lost weight recently?”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    “Have you noticed changes in your alertness?”

    Quick Answer: 223

    Detailed Answer: 226

  • Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Oral mucous membrane, altered related to chemo-therapy

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Risk for injury related to thrombocytopenia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Fatigue related to the disease process

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Interrupted family processes related to life-threatening illness of a family member

    Quick Answer: 223

    Detailed Answer: 226

  • A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Sexual dysfunction related to radiation therapy

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Anticipatory grieving related to terminal illness

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Tissue integrity related to prolonged bed rest

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Fatigue related to chemotherapy

    Quick Answer: 223

    Detailed Answer: 226

  • A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Platelet count

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    White blood cell count

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Potassium levels

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Partial prothrombin time (PTT)

    Quick Answer: 223

    Detailed Answer: 226

  • The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80,000. It will be most important to teach the client and family about:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Bleeding precautions

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Prevention of falls

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Oxygen therapy

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Conservation of energy

    Quick Answer: 223

    Detailed Answer: 226

  • The client has surgery for removal of a Prolactinoma. Which of the following interventions would be appropriate for this client?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Place the client in Trendelenburg position for postural drainage.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Encourage coughing and deep breathing every two hours.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Elevate the head of the bed 30°.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Encourage the Valsalva maneuver for bowel movements.

    Quick Answer: 223

    Detailed Answer: 226

  • The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Measure the urinary output.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Check the vital signs.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Encourage increased fluid intake.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Weigh the client.

    Quick Answer: 223

    Detailed Answer: 227

  • A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Place the client in a sitting position.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Administer acetaminophen (Tylenol).

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Pinch the soft lower part of the nose.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Apply ice packs to the forehead.

    Quick Answer: 223

    Detailed Answer: 227

  • A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The blood pressure

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The temperature

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The urinary output

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The specific gravity of the urine

    Quick Answer: 223

    Detailed Answer: 227

  • A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past three days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Glucometer readings as ordered

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Intake/output measurements

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Evaluating the sodium and potassium levels

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Daily weights

    Quick Answer: 223

    Detailed Answer: 227

  • A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Obtain a crash cart.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Check the calcium level.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Assess the dressing for drainage.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Assess the blood pressure for hypertension.

    Quick Answer: 223

    Detailed Answer: 227

  • A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Impaired physical mobility related to decreased endurance

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Hypothermia r/t decreased metabolic rate

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Disturbed thought processes r/t interstitial edema

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Decreased cardiac output r/t bradycardia

    Quick Answer: 223

    Detailed Answer: 227

  • The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Report muscle weakness to the physician.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Allow six months for the drug to take effect.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Take the medication with fruit juice.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Report difficulty sleeping.

    Quick Answer: 223

    Detailed Answer: 227

  • The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Utilize an infusion pump.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Check the blood glucose level.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Place the client in Trendelenburg position.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Cover the solution with foil.

    Quick Answer: 223

    Detailed Answer: 227

  • The six-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Blood pressure of 126/80

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Blood glucose of 110mg/dL

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Heart rate of 60bpm

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Respiratory rate of 30 per minute

    Quick Answer: 223

    Detailed Answer: 227

  • The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Replenish his supply every three months.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Take one every 15 minutes if pain occurs.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Leave the medication in the brown bottle.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Crush the medication and take with water.

    Quick Answer: 223

    Detailed Answer: 228

  • The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Macaroni and cheese

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Shrimp with rice

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Turkey breast

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Spaghetti with meat sauce

    Quick Answer: 223

    Detailed Answer: 228

  • The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Feet

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Neck

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Hands

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Sacrum

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Phlebostatic axis

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    PMI

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Erb’s point

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Tail of Spence

    Quick Answer: 223

    Detailed Answer: 228

  • The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Question the order.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Administer the medications.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Administer separately.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Contact the pharmacy.

    Quick Answer: 223

    Detailed Answer: 228

  • The best method of evaluating the amount of peripheral edema is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Weighing the client daily

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Measuring the extremity

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Measuring the intake and output

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Checking for pitting

    Quick Answer: 223

    Detailed Answer: 228

  • A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Overnight stays by family members is against hospital policy.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    There is no need for him to stay because staffing is adequate.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    His wife will rest much better knowing that he is at home.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Visitation is limited to 30 minutes when the implant is in place.

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Roast beef sandwich, potato chips, pickle spear, iced tea

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Split pea soup, mashed potatoes, pudding, milk

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Tomato soup, cheese toast, Jello, coffee

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Hamburger, baked beans, fruit cup, iced tea

    Quick Answer: 223

    Detailed Answer: 228

  • The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    “I will make sure I eat breakfast within 10 minutes of taking my insulin.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    “I will eat a snack around three o’clock each afternoon.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 223

    Detailed Answer: 229

  • The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    New parents need time to learn how to hold the baby.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The umbilical cord needs time to separate.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Newborn skin is easily traumatized by washing.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The chance of chilling the baby outweighs the benefits of bathing.

    Quick Answer: 223

    Detailed Answer: 229

  • A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Treat iron-deficiency anemia caused by chemotherapeutic agents

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Create a synergistic effect that shortens treatment time

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Increase the number of circulating neutrophils

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Reverse drug toxicity and prevent tissue damage

    Quick Answer: 223

    Detailed Answer: 229

  • A four-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Hib titer

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Mumps vaccine

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Hepatitis B vaccine

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    MMR

    Quick Answer: 223

    Detailed Answer: 229

  • The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    30 minutes before a meal

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    With each meal

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    In a single dose at bedtime

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    30 minutes after meals

    Quick Answer: 223

    Detailed Answer: 229

  • A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Call security for assistance and prepare to sedate the client.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Tell the client to calm down and ask him if he would like to play cards.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Tell the client that if he continues his behavior he will be punished.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Leave the client alone until he calms down.

    Quick Answer: 223

    Detailed Answer: 229

  • When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Check the client for bladder distention.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Assess the blood pressure for hypotension.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Determine whether an oxytocic drug was given.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Check for the expulsion of small clots.

    Quick Answer: 223

    Detailed Answer: 229

  • A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Pneumonia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Reaction to antiviral medication

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Tuberculosis

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Superinfection due to low CD4 count

    Quick Answer: 223

    Detailed Answer: 229

  • The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Diabetes

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Prinzmetal’s angina

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Cancer

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Cluster headaches

    Quick Answer: 223

    Detailed Answer: 229

  • The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Pain on flexion of the hip and knee

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Nuchal rigidity on flexion of the neck

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Pain when the head is turned to the left side

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Dizziness when changing positions

    Quick Answer: 223

    Detailed Answer: 229

  • The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Agnosia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Apraxia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Anomia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Aphasia

    Quick Answer: 223

    Detailed Answer: 229

  • The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Chronic fatigue syndrome

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Normal aging

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Sundowning

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Delusions

    Quick Answer: 223

    Detailed Answer: 230

  • The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    “You know you had breakfast 30 minutes ago.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    “I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    “I’ll get you some juice and toast. Would you like something else?”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    “You will have to wait a while; lunch will be here in a little while.”

    Quick Answer: 223

    Detailed Answer: 230

  • The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Urinary incontinence

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Headaches

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Confusion

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Nausea

    Quick Answer: 223

    Detailed Answer: 230

  • A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Document the finding.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Report the finding to the doctor.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Prepare the client for a C-section.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Continue primary care as prescribed.

    Quick Answer: 223

    Detailed Answer: 230

  • A client with a diagnosis of HPV is at risk for which of the following?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Hodgkin’s lymphoma

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Cervical cancer

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Multiple myeloma

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Ovarian cancer

    Quick Answer: 223

    Detailed Answer: 230

  • During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Syphilis

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Herpes

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Gonorrhea

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Condylomata

    Quick Answer: 223

    Detailed Answer: 230

  • A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Venereal Disease Research Lab (VDRL)

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Rapid plasma reagin (RPR)

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Fluorescent treponemal antibody (FTA)

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Thayer-Martin culture (TMC)

    Quick Answer: 223

    Detailed Answer: 230

  • A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Elevated blood glucose

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Elevated platelet count

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Elevated creatinine clearance

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Elevated hepatic enzymes

    Quick Answer: 223

    Detailed Answer: 230

  • The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The nurse loosely suspends the client’s arm in an open hand while tapping the back of the client’s elbow.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

    Quick Answer: 223

    Detailed Answer: 230

  • A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Magnesium sulfate 4gm (25%) IV

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Brethine 10mcg IV

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Stadol 1mg IV push every 4 hours as needed prn for pain

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Ancef 2gm IVPB every 6 hours

    Quick Answer: 223

    Detailed Answer: 230

  • A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The infant is at low risk for congenital anomalies.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The infant is at high risk for intrauterine growth retardation.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The infant is at high risk for respiratory distress syndrome.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The infant is at high risk for birth trauma.

    Quick Answer: 223

    Detailed Answer: 231

  • Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Crying

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Wakefulness

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Jitteriness

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Yawning

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Decreased urinary output

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Hypersomnolence

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Absence of knee jerk reflex

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Decreased respiratory rate

    Quick Answer: 223

    Detailed Answer: 231

  • The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Place her in Trendelenburg position.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Decrease the rate of IV infusion.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Administer oxygen per nasal cannula.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Increase the rate of the IV infusion.

    Quick Answer: 223

    Detailed Answer: 231

  • A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Alteration in nutrition

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Alteration in bowel elimination

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Alteration in skin integrity

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Ineffective individual coping

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for a client with uremic frost. The nurse is aware that uremic frost is often seen in clients with:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Severe anemia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Arteriosclerosis

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Liver failure

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Parathyroid disorder

    Quick Answer: 223

    Detailed Answer: 231

  • The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Alteration in cerebral tissue perfusion

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Fluid volume deficit

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Ineffective airway clearance

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Alteration in sensory perception

    Quick Answer: 223

    Detailed Answer: 231

  • The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Likes to play football

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Drinks carbonated drinks

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Has two sisters

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Is taking acetaminophen for pain

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Allow the client to keep the fruit.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Place the fruit next to the bed for easy access by the client.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Offer to wash the fruit for the client.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Ask the family members to take the fruit home.

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse’s action should be to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Place the client in Trendelenburg position.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Increase the infusion of normal saline.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Administer atropine intravenously.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Move the emergency cart to the bedside.

    Quick Answer: 223

    Detailed Answer: 231

  • The client admitted two days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Order a chest x-ray.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Reinsert the tube.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Cover the insertion site with a Vaseline gauze.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Call the doctor.

    Quick Answer: 223

    Detailed Answer: 231

  • A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Assess for signs of abnormal bleeding.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Anticipate an increase in the Coumadin dosage.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Instruct the client regarding the drug therapy.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Increase the frequency of neurological assessments.

    Quick Answer: 223

    Detailed Answer: 231

  • Which selection would provide the most calcium for the client who is four months pregnant?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    A granola bar

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    A bran muffin

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    A cup of yogurt

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    A glass of fruit juice

    Quick Answer: 223

    Detailed Answer: 232

  • The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The nurse performs a vaginal exam every 30 minutes.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The nurse places a padded tongue blade at the bedside.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The nurse inserts a Foley catheter.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The nurse darkens the room.

    Quick Answer: 223

    Detailed Answer: 232

  • The best size cathlon for administration of a blood transfusion to a six-year-old is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    18 gauge

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    19 gauge

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    22 gauge

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    20 gauge

    Quick Answer: 223

    Detailed Answer: 232

  • A client is admitted to the unit two hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Hypovolemia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Laryngeal edema

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Hypernatremia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Hyperkalemia

    Quick Answer: 223

    Detailed Answer: 232

  • The client has recently been diagnosed with diabetes. Which of the following indicates understanding of the management of diabetes?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The client selects a balanced diet from the menu.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The client can tell the nurse the normal blood glucose level.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The client asks for brochures on the subject of diabetes.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The client demonstrates correct insulin injection technique.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Pain at the site

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Warm fingers

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Pulses rapid

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Paresthesia of the fingers

    Quick Answer: 223

    Detailed Answer: 232

  • The client with AIDS should be taught to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Avoid warm climates.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Refrain from taking herbals.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Avoid exercising.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Report any changes in skin color.

    Quick Answer: 223

    Detailed Answer: 232

  • Which action by the healthcare worker indicates a need for further teaching?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The nursing assistant ambulates the elderly client using a gait belt.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The nurse wears goggles while performing a veno-puncture.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The nurse washes his hands after changing a dressing.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The nurse wears gloves to monitor the IV infusion rate.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT, the nurse should:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Apply a tourniquet to the client’s arm.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Administer an anticonvulsant medication.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Ask the client if he is allergic to shellfish.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Apply a blood pressure cuff to the arm.

    Quick Answer: 223

    Detailed Answer: 232

  • The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Rectal itching

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Nausea

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Oral ulcerations

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Scalp itching

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Treatment is not recommended for children less than 10 years of age.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Bed linens should be washed in hot water.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Medication therapy will continue for one year.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Intravenous antibiotic therapy will be ordered.

    Quick Answer: 223

    Detailed Answer: 232

  • The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The client with HIV

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The client with a radium implant for cervical cancer

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The client with RSV (respiratory synctial virus)

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The client with cytomegalovirus

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The client with methicillin resistant-staphylococcus aureas (MRSA)

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The client with diabetes

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The client with pancreatitis

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The client with Addison’s disease

    Quick Answer: 223

    Detailed Answer: 232

  • The doctor accidentally cuts the bowel during surgery. As a result of this action, the client develops an infection and suffers brain damage. The doctor can be charged with:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Negligence

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Tort

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Assault

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Malpractice

    Quick Answer: 223

    Detailed Answer: 233

  • Which assignment should not be performed by the nursing assistant?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Feeding the client

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Bathing the client

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Obtaining a stool

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Administering a fleet enema

    Quick Answer: 223

    Detailed Answer: 233

  • The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Tell the mother to wash the face with soap and apply powder.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Tell her that 30% of newborns have a rash that will go away by one month of life.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Report the rash to the doctor immediately.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Ask the mother if anyone else in the family has had a rash in the last six months.

    Quick Answer: 223

    Detailed Answer: 233

  • Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The LPN who is six months postpartum

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The RN who is pregnant

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The RN who is allergic to iodine

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The RN with a three-year-old at home

    Quick Answer: 223

    Detailed Answer: 233

  • Which information should be reported to the state Board of Nursing?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The facility fails to provide literature in both Spanish and English.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The narcotic count has been incorrect on the unit for the past three days.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The client fails to receive an itemized account of his bills and services received during his hospital stay.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Call the Board of Nursing.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    File a formal reprimand.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Terminate the nurse.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Charge the nurse with a tort.

    Quick Answer: 223

    Detailed Answer: 233

  • The home health nurse is planning for the day’s visits. Which client should be seen first?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The 78-year-old who had a gastrectomy three weeks ago and has a PEG tube

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The 50-year-old with MRSA being treated with Vancomycin via a PICC line

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

    Quick Answer: 223

    Detailed Answer: 233

  • The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    A client having auditory hallucinations and the client with ulcerative colitis

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The client who is pregnant and the client with a broken arm

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    A child who is cyanotic with severe dypsnea and a client with a frontal head injury

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The client who arrives with a large puncture wound to the abdomen and the client with chest pain

    Quick Answer: 223

    Detailed Answer: 233

  • Before administering eardrops to a toddler, the nurse should recognize that it is essential to consider which of the following?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The age of the child

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The child’s weight

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The developmental level of the child

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The IQ of the child

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    “It is okay to give my child white grape juice for breakfast.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    “My child can have a grilled cheese sandwich for lunch.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    “We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    “For a snack, my child can have ice cream.”

    Quick Answer: 223

    Detailed Answer: 233

  • A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The client is at risk for opportunistic diseases.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The client is no longer communicable.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The client’s viral load is extremely low so he is relatively free of circulating virus.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The client’s T-cell count is extremely low.

    Quick Answer: 223

    Detailed Answer: 233

  • The client has an order for sliding scale insulin at 1900 hours and Lantus insulin at the same hour. The nurse should:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Administer the two medications together.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Administer the medications in two injections.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Draw up the Lantus insulin and then the regular insulin and administer them together.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Contact the doctor because these medications should not be given to the same client.

    Quick Answer: 223

    Detailed Answer: 234

  • A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Altered nutrition

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Impaired communication

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Risk for injury/aspiration

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Altered urinary elimination

    Quick Answer: 223

    Detailed Answer: 234

  • What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Hypertension

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Lassitude

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Fatigue

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Vomiting and diarrhea

    Quick Answer: 223

    Detailed Answer: 234

  • Which action is contraindicated in the client with epiglottis?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Ambulation

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Oral airway assessment using a tongue blade

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Placing a blood pressure cuff on the arm

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Checking the deep tendon reflexes.

    Quick Answer: 223

    Detailed Answer: 234

  • A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Slow pulse

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Anorexia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Bulging eyes

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Weight gain

    Quick Answer: 223

    Detailed Answer: 234

  • Which of the following foods, if selected by the mother with a child with celiac, would indicate her understanding of the dietary instructions?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Whole-wheat toast

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Angel hair pasta

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Reuben on rye

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Rice cereal

    Quick Answer: 223

    Detailed Answer: 234

  • The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Elevate the head.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Recheck the O2 saturation in 30 minutes.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Apply oxygen by mask.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Assess the heart rate.

    Quick Answer: 223

    Detailed Answer: 234

  • Which observation would the nurse expect to make after an amniotomy?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Dark yellow amniotic fluid

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Clear amniotic fluid

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Greenish amniotic fluid

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Red amniotic fluid

    Quick Answer: 223

    Detailed Answer: 234

  • The client taking Glyburide (Diabeta) should be cautioned to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Avoid eating sweets.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Report changes in urinary pattern.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Allow three hours for onset.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Check the glucose daily.

    Quick Answer: 223

    Detailed Answer: 234

  • The obstetric client’s fetal heart rate is 80–90 during the contractions. The first action the nurse should take is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Reposition the monitor.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Turn the client to her left side.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Ask the client to ambulate.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Prepare the client for delivery.

    Quick Answer: 223

    Detailed Answer: 234

  • Arterial ulcers are best described as ulcers that:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Are smooth in texture

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Have irregular borders

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Are cool to touch

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Are painful to touch

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Anticipate the need for a Caesarean section.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Apply an internal fetal monitor.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Place the client in Genu Pectoral position.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Perform an ultrasound.

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The cervix is closed.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The membranes are still intact.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The fetal heart tones are within normal limits.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The contractions are intense enough for insertion of an internal monitor.

    Quick Answer: 223

    Detailed Answer: 234

  • The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Impaired gas exchange related to hyperventilation

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Alteration in placental perfusion related to maternal position

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Impaired physical mobility related to fetal-monitoring equipment

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Potential fluid volume deficit related to decreased fluid intake

    Quick Answer: 223

    Detailed Answer: 235

  • As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The baby is sleeping.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The umbilical cord is compressed.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    There is head compression.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    There is uteroplacental insufficiency.

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Notify her doctor.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Start an IV.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Reposition the client.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Readjust the monitor.

    Quick Answer: 223

    Detailed Answer: 235

  • Which of the following is a characteristic of an ominous periodic change in the fetal heart rate?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    A fetal heart rate of 120–130bpm

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    A baseline variability of 6–10bpm

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Accelerations in FHR with fetal movement

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    A recurrent rate of 90–100bpm at the end of the contractions

    Quick Answer: 223

    Detailed Answer: 235

  • The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The bladder fills more rapidly because of the medication used for the epidural.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Her level of consciousness is such that she is in a trancelike state.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The sensation of the bladder filling is diminished or lost.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    She is embarrassed to ask for the bedpan that frequently.

    Quick Answer: 223

    Detailed Answer: 235

  • A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Estrogen levels are low

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Lutenizing hormone is high

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The endometrial lining is thin

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The progesterone level is low

    Quick Answer: 223

    Detailed Answer: 235

  • A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Age of the client

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Frequency of intercourse

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Regularity of the menses

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Range of the client’s temperature

    Quick Answer: 223

    Detailed Answer: 235

  • A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Intrauterine device

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Oral contraceptives

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Diaphragm

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Contraceptive sponge

    Quick Answer: 223

    Detailed Answer: 235

  • The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Painless vaginal bleeding

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Abdominal cramping

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Throbbing pain in the upper quadrant

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Sudden, stabbing pain in the lower quadrant

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Hamburger patty, green beans, French fries, and iced tea

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Roast beef sandwich, potato chips, baked beans, and cola

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Fish sandwich, gelatin with fruit, and coffee

    Quick Answer: 223

    Detailed Answer: 236

  • The client with hyperemesis gravidarum is at risk for developing:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Respiratory alkalosis without dehydration

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Metabolic acidosis with dehydration

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Respiratory acidosis without dehydration

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Metabolic alkalosis with dehydration

    Quick Answer: 223

    Detailed Answer: 236

  • A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Elevated human chorionic gonadatropin

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The presence of fetal heart tones

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Uterine enlargement

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Breast enlargement and tenderness

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Hypoglycemic, small for gestational age

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Hyperglycemic, large for gestational age

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Hypoglycemic, large for gestational age

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Hyperglycemic, small for gestational age

    Quick Answer: 223

    Detailed Answer: 236

  • Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Weight gain should be reported to the physician.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    An alternate method of birth control is needed when taking antibiotics.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    If the client misses one or more pills, two pills should be taken per day for one week.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Changes in the menstrual flow should be reported to the physician.

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Diabetes

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    HIV

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Hypertension

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Thyroid disease

    Quick Answer: 224

    Detailed Answer: 236

  • A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Assess the fetal heart tones.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Check for cervical dilation.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Check for firmness of the uterus.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Obtain a detailed history.

    Quick Answer: 224

    Detailed Answer: 236

  • A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Her contractions are two minutes apart.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    She has back pain and a bloody discharge.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    She experiences abdominal pain and frequent urination.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Her contractions are five minutes apart.

    Quick Answer: 224

    Detailed Answer: 236

  • The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Low birth weight

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Large for gestational age

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Preterm birth, but appropriate size for gestation

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Growth retardation in weight and length

    Quick Answer: 224

    Detailed Answer: 237

  • The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Within 72 hours of delivery

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Within one week of delivery

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Within two weeks of delivery

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Within one month of delivery

    Quick Answer: 224

    Detailed Answer: 237

  • After the physician performs an amniotomy, the nurse’s first action should be to assess the:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Degree of cervical dilation

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Fetal heart tones

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Client’s vital signs

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Client’s level of discomfort

    Quick Answer: 224

    Detailed Answer: 237

  • A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5cm dilated with 75% effacement. Based on the nurse’s assessment, the client is in which phase of labor?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Active

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Latent

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Transition

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Early

    Quick Answer: 224

    Detailed Answer: 237

  • A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Teaching the mother to provide tactile stimulation

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Wrapping the newborn snugly in a blanket

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Placing the newborn in the infant seat

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Initiating an early infant-stimulation program

    Quick Answer: 224

    Detailed Answer: 237

  • A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Checking for cervical dilation

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Placing the client in a supine position

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Checking the client’s blood pressure

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Obtaining a fetal heart rate

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Administer a prescribed antibiotic.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Wash her hands for two minutes before care.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Wear a mask when providing care.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Ask the client to cover her mouth when she coughs.

    Quick Answer: 224

    Detailed Answer: 237

  • The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Pain

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Disalignment

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Cool extremity

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Absence of pedal pulses

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Lack of exercise

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Hormonal disturbances

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Lack of calcium

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Genetic predisposition

    Quick Answer: 224

    Detailed Answer: 237

  • A two-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The infant no longer complains of pain.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The buttocks are 15° off the bed.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The legs are suspended in the traction.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The pins are secured within the pulley.

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Uses a Steinman pin

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Requires that both legs be secured

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Utilizes Kirschner wires

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Is used primarily to heal the fractured hips

    Quick Answer: 224

    Detailed Answer: 238

  • The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Serum collection (Davol) drain

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Client’s pain

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Nutritional status

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Immobilizer

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement made by the family member caring for the client with a percutaneous gastrostomy tube indicates understanding of the nurse’s teaching?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    “I must flush the tube with water after feedings and clamp the tube.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    “I must check placement four times per day.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    “I will report to the doctor any signs of indigestion.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    “If my father is unable to swallow, I will discontinue the feeding and call the clinic.”

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is assessing the client with a total knee replacement two hours post-operative. Which information requires notification of the doctor?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Scant bleeding on the dressing

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Low-grade temperature

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Hemoglobin of 7gm

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The urinary output has been 120ml during the last hour

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is caring for the client with a five-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The client has traveled out of the country in the last six months.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The client’s parents are skilled stained-glass artists.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The client lives in a house built in 1990.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The client has several brothers and sisters.

    Quick Answer: 224

    Detailed Answer: 238

  • A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    High-seat commode

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Recliner

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    TENS unit

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Abduction pillow

    Quick Answer: 224

    Detailed Answer: 238

  • An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Administer oxygen via nasal cannula.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Have narcan (naloxane) available.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Prepare to administer blood products.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Prepare to do cardioresuscitation.

    Quick Answer: 224

    Detailed Answer: 238

  • Which roommate would be most suitable for the six-year-old male with a fractured femur in Russell’s traction?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    16-year-old female with scoliosis

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    12-year-old male with a fractured femur

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    10-year-old male with sarcoma

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    6-year-old male with osteomylitis

    Quick Answer: 224

    Detailed Answer: 239

  • A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Take the medication with milk.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Report chest pain.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Remain upright after taking for 30 minutes.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Allow six weeks for optimal effects.

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Handles the cast with the fingertips

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Petals the cast

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Dries the cast with a hair dryer

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Allows 24 hours before bearing weight

    Quick Answer: 224

    Detailed Answer: 239

  • The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    “It will be alright for your friends to autograph the cast.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    “Because the cast is made of plaster, autographing can weaken the cast.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    “If they don’t use chalk to autograph, it is okay.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    “Autographing or writing on the cast in any form will harm the cast.”

    Quick Answer: 224

    Detailed Answer: 239

  • The nurse is assigned to care for the client with a Steinman pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Assisting the LPN with opening sterile packages and peroxide

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Telling the LPN that clean gloves are allowed

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Telling the LPN that the registered nurse should perform pin care

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Asking the LPN to clean the weights and pulleys with peroxide

    Quick Answer: 224

    Detailed Answer: 239

  • A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Check the bowel sounds.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Assess the blood pressure.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Offer pain medication.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Check for swelling.

    Quick Answer: 224

    Detailed Answer: 239

  • The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Russell’s traction

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Buck’s traction

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Halo traction

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Crutchfield tong traction

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    “Use of the CPM will permit the client to ambulate during the therapy.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    “The CPM machine controls should be positioned distal to the site.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    “If the client complains of pain during the therapy, I will turn off the machine and call the doctor.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    “Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.”

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Palms rest lightly on the handles

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Elbows are flexed 0°

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Client walks to the front of the walker

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Client carries the walker

    Quick Answer: 224

    Detailed Answer: 240

  • When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Attempt to replace the cord.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Place the client on her left side.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Elevate the client’s hips.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Cover the cord with a dry, sterile gauze.

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The tube will allow for equalization of the lung expansion.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Chest tubes relieve pain associated with a collapsed lung.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Chest tubes assist with cardiac function by stabilizing lung expansion.

    Quick Answer: 224

    Detailed Answer: 240

  • A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Mother’s educational level

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Infant’s birth weight

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Size of the mother’s breast

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Mother’s desire to breastfeed

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The presence of scant bloody discharge

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Frequent urination

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The presence of green-tinged amniotic fluid

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Moderate uterine contractions

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Duration is measured by timing from the end of one contraction to the beginning of the next contraction.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Duration is measured by timing from the beginning of one contraction to the end of the same contraction.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Duration is measured by timing from the peak of one contraction to the end of the same contraction.

    Quick Answer: 224

    Detailed Answer: 240

  • The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Maternal hypoglycemia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Fetal bradycardia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Maternal hyperreflexia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Fetal movement

    Quick Answer: 224

    Detailed Answer: 240

  • A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Insulin requirements moderate as the pregnancy progresses.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    A decreased need for insulin occurs during the second trimester.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Elevations in human chorionic gonadotrophin decrease the need for insulin.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Fetal development depends on adequate insulin regulation.

    Quick Answer: 224

    Detailed Answer: 240

  • A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Providing a calm environment

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Obtaining a diet history

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Administering an analgesic

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Assessing fetal heart tones

    Quick Answer: 224

    Detailed Answer: 240

  • A primigravida, age 42, is six weeks pregnant. Based on the client’s age, her infant is at risk for:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Down syndrome

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Respiratory distress syndrome

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Turner’s syndrome

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Pathological jaundice

    Quick Answer: 224

    Detailed Answer: 241

  • A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Magnesium sulfate

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Calcium gluconate

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Dinoprostone (Prostin E.)

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Bromocrystine (Parlodel)

    Quick Answer: 224

    Detailed Answer: 241

  • A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Stop the infusion of magnesium sulfate and contact the physician.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Slow the infusion rate and turn the client on her left side.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Administer calcium gluconate IV push and continue to monitor the blood pressure.

    Quick Answer: 224

    Detailed Answer: 241

  • Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    An affected newborn has unaffected parents.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    An affected newborn has one affected parent.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Affected parents have a one in four chance of passing on the defective gene.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Affected parents have unaffected children who are carriers.

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Because it is a state law

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    To detect cardiovascular defects

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Because of her age

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    To detect neurological defects

    Quick Answer: 224

    Detailed Answer: 241

  • A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Fetal growth is arrested if thyroid medication is continued during pregnancy.

    Quick Answer: 224

    Detailed Answer: 241

  • The nurse is responsible for performing a neonatal assessment on a full-term infant. At one minute, the nurse could expect to find:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    An apical pulse of 100

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    An absence of tonus

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Cyanosis of the feet and hands

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Jaundice of the skin and sclera

    Quick Answer: 224

    Detailed Answer: 241

  • A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Supplemental oxygen

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Fluid restriction

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Blood transfusion

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Delivery by Caesarean section

    Quick Answer: 224

    Detailed Answer: 241

  • A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Increasing fluid intake

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Limiting ambulation

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Administering an enema

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Withholding food for eight hours

    Quick Answer: 224

    Detailed Answer: 241

  • An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at one year?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    14 pounds

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    16 pounds

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    18 pounds

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    24 pounds

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Determines the lung maturity of the fetus

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Measures the activity of the fetus

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Shows the effect of contractions on the fetal heart rate

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Measures the neurological well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 242

  • A full-term male has hypospadias. Which statement describes hypospadias?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The urethral opening is absent

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The urethra opens on the top side of the penis

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The urethral opening is enlarged

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The urethra opens on the under side of the penis

    Quick Answer: 224

    Detailed Answer: 242

  • A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8cm dilated, with complete effacement. The priority nursing diagnosis at this time is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Alteration in coping related to pain

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Potential for injury related to precipitate delivery

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Alteration in elimination related to anesthesia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Potential for fluid volume deficit related to NPO status

    Quick Answer: 224

    Detailed Answer: 242

  • The client with varicella will most likely have an order for which category of medication?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Antibiotics

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Antipyretics

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Antivirals

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Anticoagulants

    Quick Answer: 224

    Detailed Answer: 242

  • A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Nitroglycerin

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Ampicillin

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Propranolol

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Verapamil

    Quick Answer: 224

    Detailed Answer: 242

  • Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Avoid exercise because it fatigues the joints.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Take prescribed anti-inflammatory medications with meals.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Alternate hot and cold packs to affected joints.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Avoid weight-bearing activity.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Meperidine 100mg IM m 4 hours PRN pain

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Mylanta 30 ccs m 4 hours via NG

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Cimetadine 300mg PO m.i.d.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Morphine 8mg IM m 4 hours PRN pain

    Quick Answer: 224

    Detailed Answer: 242

  • The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Hallucinogenic drugs create both stimulant and depressant effects.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Hallucinogenic drugs induce a state of altered perception.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Hallucinogenic drugs produce severe respiratory depression.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Hallucinogenic drugs induce rapid physical dependence.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Depression and suicidal ideation

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Tachycardia and diarrhea

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Muscle cramping and abdominal pain

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Tachycardia and euphoric mood

    Quick Answer: 224

    Detailed Answer: 242

  • During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Right breech presentation

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Right occipital anterior presentation

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Left sacral anterior presentation

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Left occipital transverse presentation

    Quick Answer: 224

    Detailed Answer: 243

  • The primary physiological alteration in the development of asthma is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Bronchiolar inflammation and dyspnea

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Hypersecretion of abnormally viscous mucus

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Infectious processes causing mucosal edema

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Spasm of bronchiolar smooth muscle

    Quick Answer: 224

    Detailed Answer: 243

  • A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Serve high-calorie foods she can carry with her.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Encourage her appetite by sending out for her favorite foods.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Serve her small, attractively arranged portions.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Allow her in the unit kitchen for extra food whenever she pleases.

    Quick Answer: 224

    Detailed Answer: 243

  • To maintain Bryant’s traction, the nurse must make certain that the child’s:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Hips are resting on the bed, with the legs suspended at a right angle to the bed

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Hips and legs are flat on the bed, with the traction positioned at the foot of the bed

    Quick Answer: 224

    Detailed Answer: 243

  • Which action by the nurse indicates understanding of herpes zoster?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The nurse covers the lesions with a sterile dressing.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The nurse wears gloves when providing care.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The nurse administers a prescribed antibiotic.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The nurse administers oxygen.

    Quick Answer: 224

    Detailed Answer: 243

  • There is an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that he should contact the lab for them to collect the blood:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    15 minutes after the infusion

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    30 minutes before the fourth infusion

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    One hour after the infusion

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Two hours after the infusion

    Quick Answer: 224

    Detailed Answer: 243

  • The client using a diaphragm should be instructed to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Refrain from keeping the diaphragm in longer than four hours

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Keep the diaphragm in a cool location

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Have the diaphragm resized if she gains five pounds

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Have the diaphragm resized if she has any surgery

    Quick Answer: 224

    Detailed Answer: 243

  • The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    “I’m wearing a support bra.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    “I’m expressing milk from my breast.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    “I’m drinking four glasses of fluid during a 24-hour period.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    “While I’m in the shower, I’ll allow the water to run over my breasts.”

    Quick Answer: 224

    Detailed Answer: 243

  • Damage to the VII cranial nerve results in:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Facial pain

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Absence of ability to smell

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Absence of eye movement

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Tinnitus

    Quick Answer: 224

    Detailed Answer: 243

  • A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Cause diarrhea

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Change the color of her urine

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Cause mental confusion

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Cause changes in taste

    Quick Answer: 224

    Detailed Answer: 244

  • Which of the following tests should be performed before beginning a prescription of Accutane?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Check the calcium level.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Perform a pregnancy test.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Monitor apical pulse.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Obtain a creatinine level.

    Quick Answer: 224

    Detailed Answer: 244

  • A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Limit the client’s activity.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Encourage a high-carbohydrate diet.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Use an incentive spirometer to improve respiratory function.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Encourage fluids.

    Quick Answer: 224

    Detailed Answer: 244

  • A client is admitted for an CAT scan. The nurse should question the client regarding:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Pregnancy

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    A titanium hip replacement

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Allergies to antibiotics

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Inability to move his feet

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Changes in vision

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Nausea

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Urinary frequency

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Changes in skin color

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse should visit which of the following clients first?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The client with diabetes with a blood glucose of 95mg/dL

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The client with hypertension being maintained on Lisinopril

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The client with chest pain and a history of angina

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The client with Raynaud’s disease

    Quick Answer: 224

    Detailed Answer: 244

  • A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Once per day in the morning

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Three times per day with meals

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Once per day at bedtime

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Four times per day

    Quick Answer: 224

    Detailed Answer: 244

  • Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The lens controls stimulation of the retina.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The lens orchestrates eye movement.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The lens focuses light rays on the retina.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The lens magnifies small objects.

    Quick Answer: 224

    Detailed Answer: 244

  • A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Anesthetize the cornea

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Dilate the pupils

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Constrict the pupils

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Paralyze the muscles of accommodation

    Quick Answer: 224

    Detailed Answer: 244

  • A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Allow five minutes between the two medications.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The medications may be used together.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The medications should be separated by a cycloplegic drug.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The medications should not be used in the same client.

    Quick Answer: 224

    Detailed Answer: 244

  • The client with color blindness will most likely have problems distinguishing which of the following colors?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Orange

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Violet

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Red

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    White

    Quick Answer: 224

    Detailed Answer: 244

  • The client with a pacemaker should be taught to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Report ankle edema

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Check his blood pressure daily

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Refrain from using a microwave oven

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Monitor his pulse rate

    Quick Answer: 224

    Detailed Answer: 245

  • The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    1900

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    1200

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    1000

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    0700

    Quick Answer: 224

    Detailed Answer: 245

  • Which of the following diet instructions should be given to the client with recurring urinary tract infections?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Increase intake of meats.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Avoid citrus fruits.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Perform pericare with hydrogen peroxide.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Drink a glass of cranberry juice every day.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    “I will make sure I eat breakfast within two hours of taking my insulin.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    “I will eat a snack around three o’clock each afternoon.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 224

    Detailed Answer: 245

  • A client with pneumacystis carinii pneumonia is receiving Methotrexate. The rationale for administering leucovorin calcium to a client receiving Methotrexate is to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Treat anemia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Create a synergistic effect

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Increase the number of white blood cells

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Reverse drug toxicity

    Quick Answer: 224

    Detailed Answer: 245

  • A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    TB skin test

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Rubella vaccine

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    ELISA test

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Chest x-ray

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    30 minutes before meals

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    With each meal

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    In a single dose at bedtime

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    60 minutes after meals

    Quick Answer: 224

    Detailed Answer: 245

  • A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Is the opening on the client’s left side

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Is the opening on the distal end on the client’s left side

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Is the opening on the client’s right side

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Is the opening on the distal right side

    Quick Answer: 224

    Detailed Answer: 245

  • While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Ask the client to void.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Assess the blood pressure for hypotension.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Administer oxytocin.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Check for vaginal bleeding.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The need for oxygen therapy

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    A history of claustrophobia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    A permanent pacemaker

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Sensory deafness

    Quick Answer: 224

    Detailed Answer: 246

  • A six-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Colorful crib mobile

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Hand-held electronic games

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Cars in a plastic container

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    30-piece jigsaw puzzle

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Taking a hot bath will decrease stiffness and spasticity.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    A schedule of strenuous exercise will improve muscle strength.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Rest periods should be scheduled throughout the day.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Visual disturbances can be corrected with prescription glasses.

    Quick Answer: 224

    Detailed Answer: 246

  • A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Dulcolax suppository

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Docusate sodium (Colace)

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Methyergonovine maleate (Methergine)

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Bromocriptine sulfate (Parlodel)

    Quick Answer: 224

    Detailed Answer: 246

  • A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Total Parenteral Nutrition cannot be managed with oral hypoglycemics.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Total Parenteral Nutrition leads to further pancreatic disease.

    Quick Answer: 224

    Detailed Answer: 246

  • An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The client’s knowledge of the signs of preterm labor

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The client’s feelings about the pregnancy

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Whether the client was using a method of birth control

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The client’s thought about future children

    Quick Answer: 224

    Detailed Answer: 246

  • An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    .45 normal saline

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Dextrose 1% in water

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Lactated Ringer’s

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Dextrose 5% in .45 normal saline

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Assess the client for allergies.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Bolus the client with IV fluid.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Tell the client he will be asleep.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Insert a urinary catheter.

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Provide immunity against Rh isoenzymes

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Prevent the formation of Rh antibodies

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Eliminate circulating Rh antibodies

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Convert the Rh factor from negative to positive

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Application of a short inclusive spica cast

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Stabilization with a plaster-of-Paris cast

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Surgery with Kirschner wire implantation

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    A gauze dressing only

    Quick Answer: 224

    Detailed Answer: 246

  • A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Strain his urine

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Increase his fluid intake

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Report urinary frequency

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Avoid prolonged sitting

    Quick Answer: 224

    Detailed Answer: 247

  • Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Antivirals

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Antibiotics

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Immunosuppressants

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Analgesics

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Mydriatics to facilitate removal

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Miotic medications such as Timoptic

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    A laser to smooth and reshape the lens

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Silicone oil injections into the eyeball

    Quick Answer: 224

    Detailed Answer: 247

  • A client with Alzheimer’s disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Placing mirrors in several locations in the home

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Placing a picture of herself in her bedroom

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Placing simple signs to indicate the location of the bedroom, bathroom, and so on

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Alternating healthcare workers to prevent boredom

    Quick Answer: 224

    Detailed Answer: 247

  • A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Prevent the need for dressing changes

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Reduce edema at the incision

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Provide for wound drainage

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Keep the common bile duct open

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Mongolian spots

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Scrotal rugae

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Head lag

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Polyhydramnios

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Hematuria

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Muscle spasms

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Dizziness

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Nausea

    Quick Answer: 224

    Detailed Answer: 247

  • A client is brought to the emergency room by the police. He is combative and yells, “I have to get out of here. They are trying to kill me.” Which assessment is most likely correct in relation to this statement?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The client is experiencing an auditory hallucination.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The client is having a delusion of grandeur.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The client is experiencing paranoid delusions.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The client is intoxicated.

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing to suction the client with a tracheotomy. The nurse notes a previously used bottle of normal saline on the client’s bedside table. There is no label to indicate the date or time of initial use. The nurse should:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Lip the bottle and use a pack of sterile 4×4 for the dressing.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Obtain a new bottle and label it with the date and time of first use.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Ask the ward secretary when the solution was requested.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Label the existing bottle with the current date and time.

    Quick Answer: 224

    Detailed Answer: 247

  • An infant’s Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The baby is hypothermic.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    The baby is experiencing bradycardia.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The baby’s hands and feet are blue.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    The baby is lethargic.

    Quick Answer: 224

    Detailed Answer: 247

  • The primary reason for rapid continuous rewarming of the area affected by frostbite is to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Lessen the amount of cellular damage

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Prevent the formation of blisters

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Promote movement

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Prevent pain and discomfort

    Quick Answer: 224

    Detailed Answer: 248

  • A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Passing water through a dialyzing membrane

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Eliminating plasma proteins from the blood

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Lowering the pH by removing nonvolatile acids

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Filtering waste through a dialyzing membrane

    Quick Answer: 224

    Detailed Answer: 248

  • During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Administer an antibiotic.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Contact the physician for an order for immune globulin.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Administer an antiviral.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Tell the client that he should remain in isolation for two weeks.

    Quick Answer: 224

    Detailed Answer: 248

  • A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    The client should be placed in a room with negative pressure.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Infection requires close contact; therefore, the door may remain open.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Transmission is highly likely, so the client should wear a mask at all times.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.

    Quick Answer: 224

    Detailed Answer: 248

  • A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    “The pain will go away in a few days.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    “The pain is due to peripheral nervous system interruptions. I will get you some pain medication.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    “The pain is psychological because your foot is no longer there.”

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    “The pain and itching are due to the infection you had before the surgery.”

    Quick Answer: 224

    Detailed Answer: 248

    Quick Answer: 224

    Detailed Answer: 248

  • A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Head of the pancreas

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Proximal third section of the small intestines

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Stomach and duodenum

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Esophagus and jejunum

    Quick Answer: 224

    Detailed Answer: 248

  • The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Fruits

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Salt

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Pepper

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Ketchup

    Quick Answer: 224

    Detailed Answer: 248

  • A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Have a Protime done monthly.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Eat more fruits and vegetables.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Drink more liquids.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Avoid crowds.

    Quick Answer: 224

    Detailed Answer: 248

  • The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Perform the Valsalva maneuver as the catheter is advanced

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Turn his head to the left side and hyperextend the neck

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Take slow, deep breaths as the catheter is removed

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Turn his head to the right while maintaining a sniffing position

    Quick Answer: 224

    Detailed Answer: 248

  • A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Allergies to pineapples and bananas

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    A history of streptococcal infections

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Prior therapy with phenytoin

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    A history of alcohol abuse

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Using oil- or cream-based soaps

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Flossing between the teeth

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    The intake of salt

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Using an electric razor

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Apply the new tie before removing the old one.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Have a helper present.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Hold the tracheotomy with the nondominant hand while removing the old tie.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Ask the doctor to suture the tracheostomy in place.

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Turning the client to the left side

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Milking the tube to ensure patency

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Slowing the intravenous infusion

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Notifying the physician

    Quick Answer: 224

    Detailed Answer: 249

  • The infant is admitted to the unit with tetralogy of Fallot. The nurse would anticipate an order for which medication?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Digoxin

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Epinephrine

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Aminophyline

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Atropine

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    Quick Answer: 224

    Detailed Answer: 249

  • The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Tire easily

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Grow normally

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Need more calories

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Be more susceptible to viral infections

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Determine lung maturity

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Measure the fetal activity

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Show the effect of contractions on fetal heart rate

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Measure the well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Instruct the client to push.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Perform a vaginal exam.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Turn off the Pitocin infusion.

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Place the client in a semi-Fowler’s position.

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Atrial flutter

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    A sinus rhythm

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Ventricular tachycardia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Atrial fibrillation

    Quick Answer: 224

    Detailed Answer: 250

  • A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Be injected into the deltoid muscle

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Be injected into the abdomen

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Aspirate after the injection

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Clear the air from the syringe before injections

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Administer the medications together in one syringe

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Administer the medication separately

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Administer the Valium, wait five minutes, and then inject the Phenergan

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Question the order because they cannot be given at the same time

    Quick Answer: 224

    Detailed Answer: 250

  • A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Douche after intercourse

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Void every three hours

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Obtain a urinalysis monthly

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Wipe from back to front after voiding

    Quick Answer: 224

    Detailed Answer: 250

  • Which task should be assigned to the nursing assistant?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Placing the client in seclusion

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Emptying the Foley catheter of the preeclamptic client

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Feeding the client with dementia

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Ambulating the client with a fractured hip

    Quick Answer: 224

    Detailed Answer: 250

  • The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    A tracheotomy set

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    A padded tongue blade

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    An endotracheal tube

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    An airway

    Quick Answer: 224

    Detailed Answer: 250

  • The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    A.

    Cats

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    B.

    Dogs

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    C.

    Turtles

    Which manifestation should the nurse expect to find in a child with Down syndrome?

    D.

    Birds

    Quick Answer: 224

    Detailed Answer: 250

    • manifestation nurse expect find child syndrome

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