When assigned to the patient on complete bed rest for spinal ...

[joe]

When assigned to the patient on complete bed rest for spinal fusion secondary to scoliosis, the nurse will want to intervene to prevent common complications of immobility.
 
  Nursing interventions will include: Standard Text: Select all that apply. 1. Encouraging use of the spirometer every two hours while the child is awake.
  2. Log-rolling the patient every two hours while awake.
  3. Increasing intake of milk to maintain bone calcium.
  4. Increasing fruit and grains in the diet.
  5. Limiting fluid intake to reduce the need to void.

Question 2

A mother brings her 22-month-old child to the well-child clinic for an evaluation. The mother states that this child does not seem to be developing like her sister's child of the same age.
 
  The nurse will perform which screening test that may provide information about the child's development? 1. MRI of the head
  2. An EEG
  3. A Denver II
  4. Chromosomal study

[shaikhs]

Answer to Question 1

1,2,4
Rationale 1: Respiratory complications are a common complication of immobility.
Rationale 2: Turning the patient frequently will reduce pressure on bony prominences.
Rationale 3: Calcium will be pulled from the bones due to immobility. Adding additional calcium in the form of milk will increase the risk of kidney stones.
Rationale 4: Fruit and grains will provide extra fiber to reduce the risk of complication.
Rationale 5: Fluid intake should be increased to flush the kidneys.
Global Rationale:

Answer to Question 2

3
Rationale 1: The MRI is a diagnostic test, not a screening test, and it is not performed by the nurse.
Rationale 2: An electroencephalogra m evaluates brains wave activity of the brain. It does not evaluate the child's behavior.
Rationale 3: The Denver Developmental Screening Test II is a tool used by the nurse that evaluates language and development.
Rationale 4: A chromosomal test is not a screening test but a diagnostic test. It is not performed to determine developmental delay.
Global

[joe]

Thank you

[shaikhs]

No problemo