Author Question: The nurse is working with the family of a 5-year-old child with spina bifida. The nurse partners ... (Read 110 times)

cnetterville · **on:** Jun 27, 2018

The nurse is working with the family of a 5-year-old child with spina bifida. The nurse partners with the family to plan goals of care. An appropriate goal for this child and the family would be for the parents to:

1. Refuse a wheelchair for the child, to motivate the child to learn to walk.
2. Verbalize their frustrations to the nurse.
3. Accept the school district's individualized transition plan (ITP).
4. Alternately assume care for the child 24 hours a day, 7 days a week.

Question 2

On inspecting a newborn's abdomen, which finding would you note as abnormal?

A) Abdomen slightly protuberant (rounded)
B) Liver palpable 2 cm under the right costal margin
C) Bowel sounds present at two to three per minute
D) Clear drainage at the base of the umbilical cord

lkoler · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Rationale:
1. A child with spina bifida requires a wheelchair for mobility.
2. The nurse can assist the parents to talk through their frustrations.
3. The ITP assists adolescents with chronic conditions to transition from school to a vocation and independent living.
4. Parents will suffer caregiver burnout if they have no respite from caregiving and no special time with each other.

Answer to Question 2

D