peds questions exam 4
a nurse is providing teaching about baclofen to the guardian of a toddler who has cerebral palsy. which of the following adverse effects should the nurse include?
muscle weakness (common with baclofen along with dizziness, drowsiness, and nausea)
a nurse is providing teaching to an adolescent who has scoliosis and a new prescription for a Boston brace. which of the following responses by the adolescent indicates an understanding of the teaching?
"I can take my brace off for about an hour daily to shower" (instruct the pt to wear it for 23 hrs 1 hr w/o the brace is for showering of PT)
a nurse is caring for a 7 year old child who is in skeletal traction following a complete fracture of the femur. which of the following diversional activities should the nurse offer the child?
chapter books (D/T developmental phase and limited movement)
a nurse is planning care for a school aged child who has JIA. which of the following actions should the nurse include in the plan?
encourage the child to participate in physical activities. ( this promotes mobility and joint function)
a nurse is caring for a school age child who has skeletal traction applied to repair a pelvic fracture. which of the following actions should the nurse take?
place the child on a pressure reduction mattress (this will alleviate the pressure on bony prominences, decreasing the risk for skin break down)
a nurse is providing teaching to an adolescent client who has juvenile idiopathic arthritis. which of the following instructions should the nurse include in the teaching?
"attend school regularly" (despite joint pain or stiffness)
a nurse is providing teaching to a school age child who just had a fiberglass cast application following a lower extremity fracture. which of the following instructions should the nurse give the child and his parents about care during the first 48 hrs ?
"keep the cast above the level of your heart" (this prevents edema, pain, and promotes venous reuturn)
a nurse is teaching the parents of a child who has cerebral palsy. which of the following statements should the nurse make?
"your child will need a botulinum toxin A injection to reduce muscle spasticity"
a nurse is caring for a school aged child who had an arm cast applied 8 hours ago. which of the following findings should alert the nurse to a complication related to the casting?
the child reports tightness at the wrist (because this ca result in impaired circulation and compartment syndrome)
a nurse is creating a plan of care for an 18 month old toddler who has cerebral palsy. which of the following interventions should the nurse include?
use manual jaw control when feeding the toddler (children with CP lose jaw control)
