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Neuromuscular
| Question | Answer |
|---|---|
| A nurse is caring for a child who has cerebral palsy. Which of the following medications should the nurse expect to administer to treat painful muscle spasms? (select all that apply.) A. Baclofen B. Diazepam C. oxybutynin D. methotrexate E. Predn | A. CORRECT: Baclofen is a centrally acting skeletal muscle relaxant that decreases muscle spasm and severe spasticity. B. CORRECT: Diazepam is a skeletal muscle relaxant that decreases muscle spasms and severe spasticity. |
| A nurse is developing a plan of care for a toddler who has cerebral palsy. Which of the following actions should the nurse include? A. structure interventions according to the toddler’s chronological age. B. evaluate the toddler’s need for an eva | B. CORRECT: the nurse should recognize that the toddler who has CP has an increased risk for hearing impairment; therefore, the nurse should evaluate the toddler’s need for an evaluation of hearing ability. |
| a nurse is caring for a school‑age child who has juvenile idiopathic arthritis. Which of the following home care instructions should the nurse include in the teaching? (select all that apply.) A. Provide extra time for completion of aDls. B. Us | A. CORRECT: Providing extra time for the completion of aDls promotes independence in the client and provides a means to maintain mobility. E. CORRECT: range of motion will assist in maintaining function of the joints. |
| A nurse is caring for a child who has muscular dystrophy. For which of the following findings should the nurse assess? (select all that apply.) A. Purposeless, involuntary, abnormal movements B. Spinal defect and saclike protrusion C. Muscular w | C. CORRECT: a child who has mD will exhibit muscular weakness in the lower extremities as one of the first manifestations. D. CORRECT: a child who has mD will exhibit an unsteady, wide‑based, or waddling gait due to the progressive muscle weakness. |
| A nurse is caring for an infant who has a myelomeningocele. Which of the following actions should the nurse include in the preoperative plan of care? A. assist the mother with cuddling the infant. B. Assess the infant’s temperature rectally. C | D. CORRECT: a sterile, moist, nonadhering dressing is placed on the sac to keep it moist until surgery. this should be in the preoperative plan of care. |
| A nurse is caring for a toddler who is diagnosed with hip dysplasia and has been placed in a hip spica cast. the child’s mother asks the nurse why a Pavlik harness is not being used. Which of the following responses should the nurse make? A. “th | D. CORRECT: the Pavlik harness is a soft brace designed for infants less than 6 months of age. a toddler is too large to fit into the brace. |
| A nurse is completing preoperative teaching with an adolescent client who is scheduled to receive spinal instrumentation for scoliosis. Which of the following information should the nurse include in the teaching? A.“You will go home the same day | C. CORRECT: clients who have spinal instrumentation for scoliosis have a lengthy surgery with blood loss and require blood replacements |
| A nurse is caring for a child who is suspected of having legg‑calve‑Perthes disease. the nurse should prepare the child for which of the following diagnostic procedures? A. Bone biopsy B. genetic testing C. Mri D. radiographs | D. CORRECT: a child who has legg‑calve‑Perthes exhibits necrosis of the femoral head and can be diagnosed by radiographs of the hip and pelvis. |
| A nurse is assessing a child who has legg‑calve‑Perthes disease. Which of the following findings should the nurse expect? (select all that apply.) A. longer affected leg B. Hip stiffness c. intense pain D. limited roM E. limp with walking | B. CORRECT: a child who has legg‑calve‑Perthes exhibits hip stiffness due to the necrosis of the femoral head. D. CORRECT: a child who has legg‑calve‑Perthes exhibits limited roM due to the necrosis of the femoral head. E. CORRECT: e. a child w |
| A nurse is assessing a preschool‑age child for developmental dysplasia of the hip. Which of the following assessments should the nurse include? A. Barlow test B. trendelenburg sign C. Manipulation of foot and ankle D. ortolani test | B. CORRECT: the trendelenburg sign assesses for developmental dysplasia of the hip. the preschooler bears weight on the affected leg while holding on to something for balance. the examiner observes from behind for abnormal downward tilting of the |
Created by:
lindsaylulewis
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