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.

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.

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."

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.

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: