The nurse is teaching the kindergarten teacher about a ...

[jCorn1234]

The nurse is teaching the kindergarten teacher about a five-year-old with cerebral palsy who will be starting school. The child has a continuous baclofen pump. The nurse informs the teacher of possible side effects of this drug, including:
 
  1. Diarrhea.
  2. Hypertonia.
  3. Hypotonia.
  4. Restlessness.

Question 2

In caring for a hospitalized eight-year-old child with myelodysplasia, the nurse should remember to: Standard Text: Select all that apply.
 
  1. Expect the child to have normal intelligence.
  2. Use latex precautions.
  3. Allow the child to do her own self-catheterization.
  4. Ensure that the child has a low-fiber diet.
  5. Encourage the child to shift positions hourly when in her wheelchair.

[kkenney]

Answer to Question 1

3
Rationale 1: Continuous baclofen infusion does not cause diarrhea.
Rationale 2: Hypertonia is not seen as a side effect of baclofen infusion.
Rationale 3: Hypotonia is possible if the child is getting too much baclofen.
Rationale 4: Restlessness is not seen with baclofen; rather, these children can be drowsy and sleepy.
Global

Answer to Question 2

1,2,3,5
Rationale 1: Many children with myelodysplasia have normal intellect. They should be treated according to their intellectual level rather than their motor development.
Rationale 2: Children with myelodysplasia are at great risk for latex allergy. It is important to use latex-free products.
Rationale 3: Self-catheterization fosters independence in this child. It is important to maintain the same schedule as much as possible when this child is hospitalized.
Rationale 4: Children with myelodysplasia need a high-fiber diet to maintain adequate stool and bowel function.
Rationale 5: Due to decreased sensation in the buttocks and lower extremities, it is very important for the child to shift positions while she is in her wheelchair to prevent pressure sores.
Global