Answer to Question 1
ANS: A, B, D
Discharge teaching to prevent renal complications in a child with myelomeningocele include: (1) regular urologic care with prompt and vigorous treatment of infections; (2) a method of regular emptying of the bladder, such as clean intermittent catheterization (CIC) taught to and performed by parents and self-catheterization taught to children; and (3) medications to improve bladder storage and continence, such as oxybutynin chloride (Ditropan) and tolterodine (Detrol). Fluids should not be limited, and Lasix is not used to improve renal function for children with myelomeningocele.
Answer to Question 2
ANS: A, B, E
Spinal cord injury patients are physiologically labile, and close monitoring of blood pressure and respirations is required. They may be unstable for the first few weeks after the injury. Corticosteroids are administered to minimize the inflammation present with the injury. Minimizing environmental stimuli and discussing long-term care issues with the family do not apply to providing care for this patient.
Nurse examining and measuring hematuria sample from client with a UTI
Measles. A photograph of a child stricken with measles, showing the tell-tale sign of the skin rash.
Precious Child
Nurse's hand over patients abdomen
Observed Mother–Child Arguments at Five Time Points Over an Eight-Year Period
Developing Child, The