Exam 32: The Child with Neuromuscular or Muscular Dysfunction

The nurse is conducting discharge teaching to parents of a preschool child with myelomeningocele,repaired at birth,being discharged from the hospital after a urinary tract infection (UTI).Which should the nurse include in the discharge instructions related to management of the child's genitourinary function? (Select all that apply.)

How much folic acid is recommended for women of childbearing age?

A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago.Nursing care for this child includes which action(s)? (Select all that apply.)

The nurse is conducting a staff in-service on common problems associated with myelomeningocele.Which common problem is associated with this defect?

Which assessment findings should the nurse note in a school-age child with Duchenne muscular dystrophy (DMD)? (Select all that apply.)

Therapeutic management of a child with tetanus includes the administration of:

A 4-year-old child has just been diagnosed with pseudohypertrophic (Duchenne)muscular dystrophy.The management plan should include which action?

The nurse is reviewing prenatal vitamin supplements with an expectant client.Which supplement should be included in the teaching?

The nurse is caring for an infant with myelomeningocele scheduled for surgical closure in the morning.Which interventions should the nurse plan for the care of the myelomeningocele sac?

The nurse is preparing to admit a newborn with myelomeningocele to the neonatal intensive care nursery.Which describes this newborn's defect?

The nurse is talking to a parent with a child who has a latex allergy.Which statement by the parent would indicate a correct understanding of the teaching?

The nurse is conducting reflex testing on infants at a well-child clinic.Which reflex finding should be reported as abnormal and considered as a possible sign of cerebral palsy?

A home care nurse is caring for an adolescent with a T1 spinal cord injury.The adolescent suddenly becomes flushed,hypertensive,and diaphoretic.Which intervention should the nurse perform first?

A toddler is admitted to the hospital with a possible diagnosis of tetanus.The health care provider has prescribed lorazepam (Ativan)intravenously 0.05 mg/kg/dose every 6 hours prn as a muscle relaxant.The child weighs 22 lb.How many milligrams of Ativan should the nurse administer per dose? (Record your answer using one decimal place.)

The parents of a child with cerebral palsy ask the nurse whether any drugs can decrease their child's spasticity.The nurse's response should be based on which statement?

Which clinical manifestations in an infant would be suggestive of spinal muscular atrophy (Werdnig-Hoffmann disease)?

The nurse is planning a staff in-service on childhood spastic cerebral palsy.Spastic cerebral palsy is characterized by:

The nurse is caring for a neonate born with a myelomeningocele.Surgery to repair the defect is scheduled the next day.The most appropriate way to position and feed this neonate is which position?

Which should the nurse expect to find in the cerebral spinal fluid (CSF)results of a child with Guillain-Barré syndrome (GBS)? (Select all that apply.)

Latex allergy is suspected in a child with spina bifida.Appropriate nursing interventions include which action?