Nurs 2420 Exam 4 (100% Correct Answers)

A boy with Duchenne muscular dystrophy is admitted to the pediatric unit. He has an ineeffective cough. Lung auscultation reveals diminished breath sounds. What is the priority nursing intervention? A. Apply supplemental oxygen B. Notify the respiratory therapist C. Monitor pulse oximetry D. Position for adequate airway clearance correct answers D Interventions for airway maintenance take priority over other issues. A 7 y.o. child with cerebral palsy has been admitted to the hospital. Which information os most important for the nurse to obtain in the history? A. Age that the child learned to walk B. Parents' expectations of the child's development C. Functional status related to eating and mobility D. Birth history to identify cause of cerebral palsy correct answers C The nurse must know this child's functional status, as mobility and feeding may both be affected in the child with cerebral palsy The nurse is caring for a 2 y.o. with myelomeningocele. When teaching about care related to neurogenic bladder, what response by the parent would indicate that additional teaching is required? A. "Routine catheterization will decrease the risk of infection from urine staying in the bladder." B. "I know it will be important for me to catheterize my child for the rest of her life." C. "I will make sure that I always use latex-free catheters." D. "I will wash the catheter with warm soapy water after each use." correct answers B Children with adequate upper extremity function and normal intelligence usually learn to cathterize themselves around age 6. The nurse is caring for a child with cerebral palsy who requires a wheelchair to attain mobility. Which intervention would help the child achieve a sense of normality? A. Encourage follow-through with physical therapy exercises. B. Restrict the child to a special needs classroom. C. Encourage after-school activities within the limits of the child's abilities. D. Ensure the school is aware of the child's capabilities. correct answers C Children enjoy choir, art classes, or scouts. Sometimes additional modifications may need to be made for the child to succeed in the activity. The nurse is caring for orthopedic children who are in the postoperative period following spinal fusion. What is the most appropriate activity to delegate to unlicensed assistive personnel?