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A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomengiocele sac. which of the following interventions should the nurse include in the plan of care? - correct answer>>provide a latex free environment. which of the following is an example of a neural tube defect? - correct answer>>Spina Bifida A child with the spina bifida is placed on a bowel program at the clinic. The nurse assigned to the patient knows this is a result of... - correct answer>>lack of innervations in the anal sphincter or colon causes incontinence or constipation. A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for FURTHER teaching? - correct answer>>"I only need to catheterize myself twice every day."
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A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomengiocele sac. which of the following interventions should the nurse include in the plan of care? - correct answer>>provide a latex free environment. which of the following is an example of a neural tube defect? - correct answer>>Spina Bifida A child with the spina bifida is placed on a bowel program at the clinic. The nurse assigned to the patient knows this is a result of... - correct answer>>lack of innervations in the anal sphincter or colon causes incontinence or constipation. A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for FURTHER teaching? - correct answer>>"I only need to catheterize myself twice every day." A nurse is completing preoperative teaching with an adolescent client who is scheduled to receive spinal instrumentation for scoliosis. Which of the following information should the nurse include in the teaching? - correct answer>>"You will need to receive blood." A nurse is caring for a 2-day-old infant who has myelomeningocele. Which of the following actions should the nurse take - correct answer>>Monitor the infant's head circumference A nurse is caring for an infant who is preoperative for the treatment of an intact myelomeningocele sac. In which of the following positions should the nurse place the infant? - correct answer>>Prone A nurse is caring for an infant who is postoperative following a myelomeningocele repair. Which of the following is the priority action the nurse should take? - correct answer>>Measure the infant's head circumference A nurse is planning care for an infant with an unrepaired myelomeningocele. Which of the following actions should the nurse take? - correct answer>>Palpate the abdomen for bladder distension
A nurse is collecting data from an 11-month-old infant. Which of the following clinical manifestations is suggestive of a central nervous system infection? - correct answer>>Bulging Fontanels a nurse is assessing an infant following a motor vehicle crash. which of the following findings should the nurse monitor to identify increased intracranial pressure? - correct answer>>Increased Sleeping a nurse is caring for an adolescent male who has a traumatic brain injury following a bike accident. which of the following findings should the nurse identify as an indication of increased intracranial pressure? - correct answer>>restlessness The most common complication that should be anticipated and observed for in an infant with myelomeningocele after surgical repair of the defect is: - correct answer>>Hydrocephalus. A nurse is caring for a child who has just received a ventriculoperitoneal (VP) shunt. Which of the following should the nurse know is the appropriate position for this client?
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? - correct answer>>Use manual jaw control when feeding the toddler A nurse is collecting data from an 11-month-old infant. Which of the following clinical manifestations is suggestive of a central nervous system infection? - correct answer>>Bulging Fontanel Positive Brudzinski sign A nurse is caring for a child with a suspected diagnosis of bacterial meningitis. Which of the following is the priority action by the nurse? - correct answer>>Administer Antibiotics when Available. A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. which of the following actions should the nurse include in the plan of care - correct answer>>hold the infants chin to his chest and knees to his abdomen during the procedure. a nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. which of the following actions should the nurse include in the plan of care - correct answer>>hold the infants chin to his chest and knees to his abdomen during the procedure. A nurse is planning care for a child who has nephrotic syndrome and a prescription for corticosteroids. Which of the following interventions should the nurse recommend? - correct answer>>Provide a Low-Sodium Diet A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child? - correct answer>>A child who has nephrotic syndrome a nurse is assessing a toddler who has acute nephrotic syndrome which of the following findings should the nurse report to the provider. - correct answer>>yellow nasal drainage a nurse is collecting data from a child which of the following is a clinical manifestation of nephrotic syndrome. - correct answer>>facial edema
A nurse is caring for a 10-year-old child who has nephrotic syndrome. Which of the following findings should the nurse report to the provider? - correct answer>>Serum protein 5 A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect? (Select all that apply) - correct answer>>Edema in the ankles Hyperlipidemia Anorexia Which diagnostic finding is present when a child has primary nephrotic syndrome? - correct answer>>Proteinuria Which finding indicates that a child receiving prednisone for primary nephrotic syndrome is in remission? - correct answer>>Urine is up to a trace for protein for 5- 7 days. Which statement by a parent of a child with nephrotic syndrome indicates an understanding of a no-added-salt diet? - correct answer>>I do not put any salt in foods when I am cooking. What is an appropriate intervention for a child with nephrotic syndrome who is edematous? - correct answer>>change the child's position every 2 hours. The nurse closely monitors the temperature of a child with nephrotic syndrome. The purpose of this is to detect an early sign of which possible complication? - correct answer>>Infection A nurse is caring for a child who has suspected nephrotic syndrome. Which of the following laboratory values should the nurse expect - correct answer>>Serum cholesterol 700 mg/dL A nurse is assisting in the care of a male child who has acute post-streptococcal glomerulonephritis (APSGN). For which of the following manifestations should the nurse monitor? - correct answer>>Oliguria A child is admitted with acute glomerulonephritis. The nurse expects the urinalysis during this acute phase to show. - correct answer>>hematuria and proteinuria a nurse is caring for a child who has acute glomerulonephritis. which of the following actions is the nurse's priority? - correct answer>>check the child's daily weight
a nurse is caring for a client diagnosed with glomerulonephritis who has recurrent hypertension and edema. analyzing the clients lab results in relationship to his disease process the nurse would expect to find an increase in which values - correct answer>>BUN