A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
Speak slowly while facing the child.
Talk directly into the child's impaired ear.
Stand above the child's eye level when speaking.
Speak loudly to the child.
The Correct Answer is A
A. Speak slowly while facing the child: Facing the child helps them see lip movements and facial expressions, which aids communication.
B. Talk directly into the child's impaired ear: Shouting or talking directly into the ear is unhelpful and can distort sound further.
C. Stand above the child's eye level when speaking: Standing above the child can make communication difficult. The nurse should be at eye level to establish effective communication.
D. Speak loudly to the child: Speaking loudly can distort sound and is not helpful for a hearing-impaired child.
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Correct Answer is D
Explanation
A. Haemophilus Influenza Type B (HIB) Vaccine and TDAP. HIB vaccine reduces the incidence of meningitis caused by Haemophilus influenzae, but TDAP does not target pathogens responsible for meningitis.
B. Inactivated polio vaccine (IPV) and Pneumococcal Conjugate Vaccine (PCV). IPV prevents polio but has no impact on meningitis incidence. PCV is correct for preventing Streptococcus pneumoniae meningitis.
C. DTAP and Varicella Vaccine. DTAP does not prevent bacterial meningitis, and varicella vaccine prevents chickenpox, not meningitis.
D. Pneumococcal Conjugate Vaccine (PCV) and Haemophilus Type B (HIB Vaccine). These vaccines directly prevent bacterial meningitis caused by Streptococcus pneumoniae and Haemophilus influenzae, which were previously leading causes of meningitis in children.
Correct Answer is B
Explanation
A. 20. Trisomy 20 is not associated with Down syndrome.
B. 21. Down syndrome results from an extra copy of chromosome 21, called Trisomy 21.
C. 22. Trisomy 22 leads to other syndromes but not Down syndrome.
D. 19. Trisomy 19 is incompatible with life and does not cause Down syndrome.