NURS 340 : Chapter 22 Questions and Answers and Rationale Test Bank,100% CORRECT
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NURS 340
Institution
NURS 340
NURS 340 : Chapter 22 Questions and Answers and Rationale Test Bank
Origin: Chapter 22, 1
1. 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) "He needs t...
nurs 340 chapter 22 questions and answers and rationale test bank
1 the nurse is teaching the mother of a 5 year old boy with a myelomeningocele who has developed a sensitivity to latex which resp
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NURS 340 : Chapter 22 Questions and Answers and Rationale Test
Bank
Origin: Chapter 22, 1
1. 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) "He needs to get a medical alert identification."
B) "I will need to discuss this with his caregivers."
C) "A product's label indicates whether it is latex-free."
D) "He must avoid all contact with latex."
Ans: C
Feedback:
The Food and Drug Administration (FDA) requires that all medical supplies
be labeled if they contain latex, but this is not the case with consumer
products. The mother must be familiar with products that contain latex.
The Spina Bifida Association of America maintains an updated list of latex-
containing products. Getting a medical alert identification, talking with his
caregivers, and avoiding all contact with latex are correct.
Origin: Chapter 22, 2
2. The nurse is providing postoperative care for a 14-month-old girl who has
undergone a myelomeningocele repair. The girl's mother is extremely
anxious and tells the nurse she isafraid she will never learn how to care for
her daughter at home. Which response by the nurse would be most
appropriate?
A) "I will help you become comfortable in caring for your daughter."
B) "You must learn how to care for your daughter at home."
C) "You will need to learn to collaborate with all the caregivers."
D) "There is a lot to learn, and you need a positive
attitude." Ans: A
Feedback:
The nurse needs to empower families to become the experts on their child's
needs and conditions via education and participation in care. The most
positive approach is to let the mother know the nurse will support her and
help her become an expert on her daughter's care. Telling the mother that
she must learn how to care for her daughter or that she must have a
positive attitude is not helpful. Telling her that she needs to collaborate with
the caregivers is true, but does not address her fears.
Page 1
, Origin: Chapter 22, 3
3. The nurse is conducting a physical examination of a child with a brachial
plexus injury.Which finding would lead the nurse to be highly suspicious
of Erb palsy?
A) The child is unable to close one of his eyes.
B) The involved extremity is adducted, prone, and internally rotated.
C) Asymmetry of the face occurs when the child is crying.
D) The mouth is drawn to the
noninvolved side.Ans: B
Feedback:
Erb palsy is an upper brachial plexus injury and the involved extremity
usually presents
Page 2
, as adducted, prone, and internally rotated. Inability to close one eye, facial
asymmetry, or drawing of the mouth to the noninvolved side are associated
with facial nerve palsy as a result of cranial nerve injuries.
Origin: Chapter 22, 4
4. 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?
A) Deep-breathing exercises
B) Upright positioning
C) Coughing
D) Chest percussion
Ans: B
Feedback:
The nurse should emphasize that the child's position should be arranged to
promote maximum chest expansion. This is usually in the upright position.
Deep-breathing exercises are for strengthening/maintaining respiratory
muscles. Coughing helps clear the airways. Chest percussion helps loosen
secretions in lungs.
Origin: Chapter 22, 5
5.A 6-year-old boy with cerebral palsy has been admitted to the hospital for
some tests. Hiscondition is stable. The boy's mother remains with her son,
but she is obviously exhausted and stressed. Which response by the nurse
would be most appropriate?
A) "Would you like me to bring you a blanket and pillow?"
B) "You are doing such a wonderful job with your son."
C) "He's in good hands; consider going home to get some sleep."
D) "Are you planning to spend the night or to go
home?" Ans: C
Feedback:
Providing daily, intense care can be quite demanding and tiring. When a
child with cerebral palsy is admitted to the hospital, this may serve as a
time of respite for family and primary caregivers. The nurse should remind
the mother that her son is in good handsand urge her to go home. Asking
her whether she is planning to stay might make the mother feel obligated
Page 3
, to stay. Asking if she wants a blanket or pillow does not encourage the
mother to leave the hospital. Telling the mother she is doing a good job is
nice, but does not encourage her to take a break.
Origin: Chapter 22, 6
6.A nurse is caring for a 14-year-old girl following myelography. What is the
priority
nursing action?
A) Monitoring for a decrease in spasticity
B) Observing for signs of meningeal irritation
C) Assessing motor function
Page 4
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