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evolve wong 31&32

test 4 neuromuscular

QuestionAnswer
What is a secondary effect when a child experiences decreased muscle strength, tone, and endurance from immobilization Decreased exercise tolerance
Which measure is important in managing hypercalcemia in a child who is immobilized Promote adequate hydration
The nurse is caring for an immobilized preschool child. What is helpful during this period of immobilization Take the child for a "walk" by wagon outside the room.
What is the rationale for elevating an extremity after a soft tissue injury such as a sprained ankle Elevation reduces edema formation.
What is characteristic of fractures in children Rapidity of healing is inversely related to the child's age
The callus that develops at a fracture site is important because it provides means for holding bone fragments together.
A 3-year-old has just returned from surgery in a hip spica cast. The priority nursing intervention is to check circulation, sensation, and motion of toes
An adolescent has had a lower leg amputation secondary to a motorcycle accident and is complaining of pain in the missing extremity. The nurse should recognize that this is normal and called phantom limb sensation
An infant is born with one lower limb deficiency. When is the optimum time for the child to be fitted with a prosthetic device When the infant is developmentally ready to stand up
What is an appropriate nursing intervention when caring for the child with chronic osteomyelitis Move and turn the child carefully and gently to minimize pain.
Which statement is the most descriptive of rhabdomyosarcoma The most common sites are the head and neck
What are considered major goals of the therapeutic management of juvenile rheumatoid arthritis (JRA) Prevent physical deformity; preserve joint function
A nurse is caring for an infant with developmental dysplasia of the hip (DDH). Based on the nurse’s knowledge of DDH, which clinical manifestation should the nurse expect to observe Asymmetric thigh and gluteal folds, Positive Ortolani and Barlow tests, Shortening of limb on affected side
Cerebral palsy (CP) may result from a variety of causes. It is now known that the most common cause of CP is prenatal brain abnormalities
The major goal of therapy for children with cerebral palsy (CP) is recognizing the disorder early and promoting optimal development.
A 3-year-old has cerebral palsy (CP) and is hospitalized for surgery. The child’s mother states the child has difficulty swallowing and holding a utensil. What is the most appropriate action r/t feeding Stabilize the child’s jaw with one hand to facilitate swallowing.
An 8-year-old has been dx with moderate cerebral palsy (CP). The child recently began participation in a regular classroom. The child’s mother asks the nurse about joining the a Scout troop. The nurse's response should be after-school activities provide children with CP with opportunities for socialization and recreation.
A neural tube defect that is not visible externally in the lumbosacral area would be called spina bifida occulta.
A woman who is 6 weeks pregnant tells the nurse that she is worried her baby might have spina bifida because of a family history. What should the nurse's response be The concentration of afp in amniotic fluid may indicate the presence of the defect prenatally.
A 6-year-old child born with a myelomeningocele has a neurogenic bladder. The parents have been performing clean intermittent catheterization. What should the nurse recommend Teach the child to do self-catheterization.
What most accurately describes bowel function in children born with a myelomeningocele Some degree of fecal continence can usually be achieved.
What is important when caring for a child with myelomeningocele in the preoperative stage Measure the head circumference and examine the fontanels for signs that might indicate developing hydrocephalus.
A child with spina bifida has developed a latex allergy from numerous bladder catheterizations and surgeries. A priority nursing intervention is to provide a latex-free environment.
Which statement best describes Duchenne muscular dystrophy (DMD) DMD is characterized by muscle weakness, usually beginning at about age 3 years.
Created by: marcil21
 

 



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