PEDS CH 22 - Neuro or Muscull

Inspect the child's skin for rashes, redness, irritation, or pressure sores

A 5 year old child is in traction and at risk for impaired skin integrity due to pressure. Which intervention is most effective?

Corticosteriods

Anti-inflammatory

Benzodiazepines

Anticonvulsant

Oxybutynin

Antispasmodic

Decrease

Atrophy is _____ or wasting in size of a muscle

Baclofen

Central acting skeletal muscle relaxant

Hypotonia

Decrease muscle tone is called?

Convex

Kyphosis refers to excessive what curvature of the spine resulting in a humpback appearance?

Botulin toxin

Neurotoxin

Involuntary

Spasticity is ______ muscle contractions that are not coordinated with other muscles

The child is 13 years old The child is African American The child is male The child's parents state that the child has recently experienced a growth spurt

The child has been diagnosed with slipped capital femoral epiphysis. Which characteristics about the client are risk factors associated with the development of this condition?

The child exhibits diaphoresis The child's apical heart rate is 52 bpm The child is drooling excessively The child is complaining that his muscles are very weak

The nurse learns that the child has been admitted with clinical manifestations associated with cholinergic crisis. Which finding are associated with this condition?

Neural tube defects

The structural disorders of spina bifida occulta, meningocele, and myelomeningocele are considered?

The boy has had a fever of great than 102F (38.9C) for the last 36 hours New drainage is seeping out from under the cast The boy's toes are light blue and very swollen

The young boy has fractured his left leg and has a cast applied. The nurse educates the boy and his parents prior to discharge from the hospital. The parents should call the physician when which indents occurs?

Synovitis

Transient _______ of the hip is the most common cause of hip pain in children

Epiphysis

Where does the ossification of new bone occur?

It is important that the harness be worn continuously

A nurse is assisting the parents of a child who requires a Pavlik harness. The parents are apprehensive about how to care for their baby. The nurse should stress which teaching point?

There are a lot of kids with the same type of muscular dystrophy you have at the MDA support group.

A nurse is caring for a 13 year old boy with Duchenne muscular dystrophy. He says he feels isolated and that there is no one who understands the challenges of his disease. How should the nurse respond?

Let's offer her a snack now and you can tell me about her diet on a typical day

A nurse is caring for a 2 year old girl with cerebral palsy. The child is having difficulty with proper nutritional and is not gaining adequate weight. How can the nurse elicit additional info to establish a diagnosis?

Look over there at the neon fish in our aquarium

A nurse is caring for a 6 year old boy with a fractured ulna. He is fearful about the casting process and is resisting treatment. how should the nurse respond?

Cleansing by showering should be sufficient

A nurse is caring for an 11 year old with an Ilizarov fixator and is providing teaching regarding pin care. The nurse should provide which instruction?

Constipation and bladder dsyfunction

A nurse is caring for an infant with a meningocele. Which finding alerts the nurse that the lesion is increasing in size

Flexible passively past neutral, nut only to midline actively

A nurse is conducting a physical exam of an infant with suspected metatarsus adductus. Type II metatarsus adductus is indicates when the forefoot is?

Pale, cool, or blue skin coloration is to be expected

A nurse is providing instructions for home cast care. Which response by the parent indicates a need for further teaching?

The very first step is to apply water-based lubricant to the catheter

A nurse is teaching the parents of a boy with a neurogenic bladder about clean intermittent catheterization. Which response indicates a need for further teaching?

How & when to administer oxybutynin How and when to perform clean intermittent urinary catheterization Signs & symptoms of a urinary tract infection Difference types of surgeries used to treat this condition

The child has a meningocele and a neurogenic bladder. When topics should the nurse include in the teaching plan when educating the child and the child's caregivers?

Serum creatine kinase levels are elevated An electromyogram demonstrates the problem is within the nerves, not the muscles The child is unable to rise easily into a standing position when placed on the floor

The nurse is assessing a younger boy who has been brought to the physician for mobility and balance issues by his parents. Which findings are positively associated with the presence of Duchenne muscular dystrophy?

Gentle tickling

The nurse is caring for a 5 year old child with Guillian-Barre syndrome. Which would be the best way to assess the level of paralysis?

This is not your fault and we will help you with her care and treatment

The nurse is caring for an infant girl in an outpatient setting. The infant has just been diagnosed with developmental dysplasia of the hip (DDH). The mother is very upset about the diagnosis and blames herself for her daughter's condition. Which response best addresses the mother's concerns?

Presence of Moro reflex

The nurse is conducting a physical exam of a 9 year old infant with a suspected neuromuscular disorder. Which finding would warrant further evaluation?

Blue sclera

The nurse is conducting a physical exam of a newborn with suspected osteogenesis imperfect. Which finding is common?

Gowers sign

The nurse is conducting a physician exam of a 10 year old boy with a suspected neuromuscular disorder. Which finding is a sign of Duchenne muscular dystrophy?

The can be considered a normal variant with no indication of a problem: however, the doctor will want to take a closer look.

The nurse is conducting a wellness exam of a 6 month old child. The mother points out some dimpling and skirt discoloration in the child's lumbosacral area. How should the nurse respond?

In a prone position, noting asymmetry of the thigh or gluteal folds

The nurse is conduction a routine physical exam of a newborn to screen for DDH. The nurse correctly assess the infant by placing the infant:

Do not allow him to lie on either side

The nurse is providing postoperative care for a boy who has undergone surgical correction for pectus excavatum. The nurse should emphasize which instruction of the child's parents?

Prevent rupture or leaking of cerebrospinal fluid

The nurse is providing presurgical care for a newborn with nyelomeningocele. Which action is the central nursing priority?

Would you please describe the weakness you are seeing in your son?

The nurse is taking the history of a 4 year old boy. His mother mentions that he seems weaker and unable to keep up with his 6 year old sister on the playground. Which question should the nurse ask to elicit the most helpful information?

The child reports numbness and tingling in his toes The child states that it is difficult to move his legs The child states that it is difficult to move his arms The child is having difficulty producing facial expressions

The young child has been diagnosed with Guillain_ Barre Syndrome and it is progressing in a classic manner. How would the events occur?

I feel sort of dizzy I need to take a nap

The young child is experiencing muscle spasms and has been given lorazepam. Which statements by the child indicate that the child may be the experiencing some common side effects like?

I give it to her first thing in the morning before breakfast We are taking her to Disney in the summer

The young girl has been prescribed corticosteroids for dermatomyositis. Which statement by her mother indicate the need for further education?