Exam 35: The Child With Neuromuscular or Muscular Dysfunction

The nurse is preparing to admit a 7-year-old child with an upper motor neuron syndrome.What clinical manifestations of an upper motor neuron syndrome should the nurse expect to observe?

The nurse is preparing to admit a 7-year-old child with ataxic cerebral palsy.What clinical manifestations of ataxic cerebral palsy should the nurse expect to observe?

The nurse should suspect a child has cerebral palsy (CP)if the parent says what?

The health care provider has prescribed valproic acid (Depakene)30 mg/kg/day divided bid for a child with cerebral palsy having seizures.The child weighs 22 lb.The nurse is preparing to administer the 0900 dose.Calculate the dose the nurse should administer in milligrams.Record your answer below in a whole number. __________

What type of cerebral palsy (CP)is the most common type?

What is a major goal of therapy for children with cerebral palsy (CP)?

The nurse is caring for a child with myasthenia gravis (MG).What health care prescription should the nurse verify before administering?

A mother tells the clinic nurse that she often puts honey on her infant's pacifier to soothe the infant.What response should the nurse make to the mother?

The nurse is teaching the family with a child with cerebral palsy (CP)strategies to prevent constipation.What should the nurse include in the teaching session?

The health care provider has prescribed dantrolene sodium (Dantrium)0.5 mg/kg PO once a day for a child with cerebral palsy.The child weighs 55 lb.Calculate the dose the nurse should administer in milligrams.Record your answer below using one decimal place. ________

An adolescent has just been brought to the emergency department with a spinal cord injury and paralysis from a diving accident.The parents keep asking the nurse,"How bad is it?" The nurse's response should be based on which knowledge?

The nurse is preparing a staff education in-service session for a group of new graduate nurses who will be working in a long-term care facility for children; many of the children have cerebral palsy (CP).What statement should the nurse include in the training?

What functional goal should the nurse expect for a child who has a C7 spinal cord injury?

An adolescent whose leg was crushed when she fell off a horse is admitted to the emergency department.She has completed the tetanus immunization series,receiving the last tetanus toxoid booster 8 years ago.What care is necessary for therapeutic management of this adolescent to prevent tetanus?

A 12-year-old child with Guillain-Barré syndrome (GBS)is admitted to the pediatric intensive care unit.She tells you that yesterday her legs were weak and that this morning she was unable to walk.After the nurse determines the current level of paralysis,which should the next priority assessment be?

An 8-year-old child is hospitalized with infectious polyneuritis (Guillain-Barré syndrome [GBS]).When explaining this disease process to the parents,what should the nurse consider?

Spastic cerebral palsy (CP)is characterized by which clinical manifestations?

The nurse is preparing to admit a 10-year-old child with Duchenne muscular dystrophy.What clinical features of Duchenne muscular dystrophy should the nurse recognize?

The clinic nurse is assessing infant reflexes.What assessment indicates a persistence of primitive reflexes?