Evolve HESI Practice Questions

A 2-year-old child recently diagnosed with hemophilia A is discharged home. What information should the nurse include in a teaching plan about home care? Minimize interactive play with other children to lessen chances for injury. Give low-dose children's chewable aspirin in orange flavor for joint discomfort. Use a firm and dry toothbrush to clean teeth at least twice per day. Apply pressure and ice for bleeding while elevating and resting the extremity. - Apply pressure and ice for bleeding while elevating and resting the extremity. Hemophilia, a blood disorder, causes joint bleeding which is treated with rest, ice, compression, and elevation (RICE) (D). (A, B, and C) are inaccurate. A 2-year-old child with Down syndrome is brought to the clinic for his regular physical examination. The nurse knows which problem is frequently associated with Down syndrome? Congenital heart disease. Fragile X chromosome. Trisomy 13. Pyloric stenosis. - Congenital heart disease. Congenital heart disease (A) is the most common associated defect in children with Down syndrome. (C) might have seemed possible since Down syndrome is a trisomal chromosomal abnormality of chromosome 21. (B) is a sex-linked abnormality also causing mental retardation. (D) is not associated with Down syndrome. A 2-year-old child with gastro-esophageal reflux has developed a fear of eating. What instruction should the nurse include in the parents' teaching plan? Invite other children home to share meals. Accept that he will eat when he is hungry. Reward the child with a nap after eating. Consistently follow a set mealtime routine. - Consistently follow a set mealtime routine. A 2-year-old child is comforted by consistency (D). (A) is contraindicated because twoyear-olds may participate in parallel activities with other children but are too young to feel comfort and support by the presence of other children when anxious or afraid. (B) may or may not be true and does not address the child's fears. The child with reflux should remain upright at least two hours after eating (C