Question 1

A young boy has just been diagnosed with pseudohypertrophic (Duchenne's)muscular dystrophy.The management plan should include:

Accepted Answer

A) Recommending genetic counseling. 
B) Explaining that the disease is easily treated. 
C) Suggesting ways to limit the use of muscles. 
D) Assisting the family in finding a nursing facility to provide his care. 
A) Recommending genetic counseling. 
B) Explaining that the disease is easily treated. 
C) Suggesting ways to limit the use of muscles. 
D) Assisting the family in finding a nursing facility to provide his care.

Question 2

The nurse is caring for an intubated infant with botulism in the pediatric intensive care unit.Which health care provider prescriptions should the nurse clarify with the health care provider before implementing?

Accepted Answer

A) Administer 250 mg botulism immune globulin intravenously (BIG-IV) one time. 
B) Provide total parenteral nutrition (TPN) at 25 mL/hr intravenously. 
C) Titrate oxygen to keep pulse oximetry saturations greater than 92. 
D) Administer gentamicin sulfate (Garamycin) 10 mg per intravenous piggyback every 12 hours. 
A) Administer 250 mg botulism immune globulin intravenously (BIG-IV) one time. 
B) Provide total parenteral nutrition (TPN) at 25 mL/hr intravenously. 
C) Titrate oxygen to keep pulse oximetry saturations greater than 92. 
D) Administer gentamicin sulfate (Garamycin) 10 mg per intravenous piggyback every 12 hours.

Question 3

What is the most appropriate nursing response to the father of a newborn infant with myelomeningocele who asks about the cause of this condition?

Accepted Answer

A) "One of the parents carries a defective gene that causes myelomeningocele." 
B) "A deficiency in folic acid in the father is the most likely cause." 
C) "Offspring of parents who have a spinal abnormality are at greater risk for myelomeningocele." 
D) "There may be no definitive cause identified." 
A) "One of the parents carries a defective gene that causes myelomeningocele." 
B) "A deficiency in folic acid in the father is the most likely cause." 
C) "Offspring of parents who have a spinal abnormality are at greater risk for myelomeningocele." 
D) "There may be no definitive cause identified."

Question 4

Latex allergy is suspected in a child with spina bifida.Appropriate nursing interventions include:

Accepted Answer

A) Avoiding using any latex product. 
B) Using only nonallergenic latex products. 
C) Administering medication for long-term desensitization. 
D) Teaching the family about long-term management of asthma. 
A) Avoiding using any latex product. 
B) Using only nonallergenic latex products. 
C) Administering medication for long-term desensitization. 
D) Teaching the family about long-term management of asthma.

Exam 49: Neuromuscular or Muscular Dysfunction

A young boy has just been diagnosed with pseudohypertrophic (Duchenne's)muscular dystrophy.The management plan should include:

The nurse is caring for an intubated infant with botulism in the pediatric intensive care unit.Which health care provider prescriptions should the nurse clarify with the health care provider before implementing?

What is the most appropriate nursing response to the father of a newborn infant with myelomeningocele who asks about the cause of this condition?

Latex allergy is suspected in a child with spina bifida.Appropriate nursing interventions include:

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

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