ch. 44 - muskulskeletal Flashcards
The nurse is teaching the mother of a 5 year old boy with a myelomeningocele who has developed a sensitivity to latex. Which response from his mother indicates a need for further teaching?
“ a product’s level indicates whether it is latex free”
the nurse is providing postoperative care for a 14 month old girl who has undergone a myelomeningocele repair. The girls mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home. Which response by the nurse would be most appropriate?
‘I will help you become comfortable in caring for your daughter”
the nurse is caring for a 10 year old with Duchenne muscular dystrophy. As part of the plan of care, the nurse focuses on maintaining his cardiopulmonary function. Which intervention would the nurse implement to best promote maximum chest expansion?
upright positioning
a 6 year old child with cerebral palsy has been admitted to the hospital for some tests. The child’s condition is stable. A parent remains with the child, but the parent is obviously exhausted and stressed. Which response by the nurse would be most appropriate?
“Your child is in good hands; consider going home to get some sleep”
a nurse is caring for a 14 year old girl following myelography. What is the priority nursing action?
observing for signs of meningeal irritation
the nurse has developed a plan of care for a 6 year old with muscular dystrophy. He was recently injured when he fell out of bed at home. Which intervention would the nurse suggest to prevent further injury?
recommend raising the bed’s side rails when a caregiver is not present
the nurse is caring for a 2 month old with cerebral palsy. the infant is limp and flaccid with uncontrolled, slow, worm-like, writhing, and twisting movements. What word would the nurse use when documenting these observations?
Athetoid
the nurse is teaching a group of students about myelinization in a child. which statement by the student indicates that the teaching was successful?
-the process occurs in a head to toe fashion
when developing the plan of care for a child with cerebral palsy, which treatment would the nurse expect as least likely?
skeletal traction
a nurse is preparing a program for a group of parents about injury prevention. what would the nurse include as an important contributing factor for vertical spine injury in a child?
increased mobility of the spine
a child with Duchenne muscular dystrophy is to receive prednisone as part of his treatment plan. After teaching the child’s parents about the drug, which statement by the parents indicates the need for additional teaching?
“we should give this drug before he eats anything”
What information would the nurse include in the preoperative plan of care for an infant with myelomeningocele?
Covering the sac with saline-soaked nonadhesive gauze
The nurse is assessing a newborn who was delivered after a prolonged labor due to an
abnormal presentation. The newborn sustained a cranial nerve injury. The nurse would most likely expect to assess deficits related to which cranial nerve?
facial
A child with spastic cerebral palsy is to receive botulin toxin. The nurse prepares the child
for administration of this drug by which route?
IM injection
The nurse is assessing the neuromusculoskeletal system of a newborn. What is an abnormal assessment finding?
sluggish deep tendon reflexes
a child with cerebral palsy has undergone surgery for placement of a baclofen pump. Which instruction would the nurse include when teaching the parents about caring for their child?
discourage the child from stretching or bending forward for 4 weeks
a nursing instructor is preparing for a class discussion on spinal muscular atrophy. when describing type 2 SMA which information would the instructor include? select all that apply.
-weakness most severe in shoulders and hips
-slowly progressing condition
-genetic disease with autosomal recessive inheritance
an 8 year old girl was diagnosed with a closed fracture of the radius at approximately 2 pm. the fracture was reduced in the emergency department and her arm was placed in a cast. at 11 pm the mother brings her back due to unrelenting pain not relieved by prescribed narcotics. Which action is the priority?
notifying the doctor immediately
the nurse is caring for an active 14 year old boy who was recently diagnosed with scoliosis. He is dismayed that a “jock” like himself could have this condition, and is afraid it will impact his spot on the water polo team. Which response by the nruse would best address the boy’s concerns?
Let’s talk to another boy with scoliosis, who is winning trophies for his swim team
the nurse is caring for a female infant with torticollis and is providing instructions to the parents about how to help their daughter. Which statement by the parents indicates a need for further teaching?
we must apply firm pressure and stretching every other day
the nurse is caring for a 10 year old in traction. While performing a skin assessment, the nurse notices that the skin over the calcaneus appears lightly red and irritated. Which action should the nurse take first?
reposition the child’s foot on a pressure reducing device
the nurse is caring for a 14 month old boy with rickets who was recently adopted from overseas. His condition was likely a result of a diet very low in milk products. The nurse is providing teaching regarding treatment. Which response by the parents indicates a need for further teaching?
“we must give him calcium and phosphorus with food every morning
the nurse is caring for a 14 year old client in traction prior to surgery. The client has been in the hospital for 2 weeks and will require an additional 10 days in the hospital following surgery. The client states “ I feel isolated and i am refusing any more treatment” which response by the nurse is most appropriate?
lets come up with things for you to do and see if your friends can come visit
the nurse is caring for a 2 year old girl in a bilateral brace with tibia vara. her parents are upset by the toddlers limited mobility. Which response buy the nurse would be most appropriate?
you are doing a great job. Let’s put our heads together on how to keep her busy
