A child with myelomeningocele, corrected at birth, is now 5 years ...

[gbarreiro]

A child with myelomeningocele, corrected at birth, is now 5 years old. Which is the priority nursing diagnosis for a child with corrected spina bifida at this age?
 
  1. Risk for Altered Nutrition
  2. Risk for Impaired Tissue PerfusionCranial
  3. Risk for Altered Urinary Elimination
  4. Risk for Altered Comfort

Question 2

The nurse is planning care for a school-age child diagnosed with bacterial meningitis. Which intervention is most appropriate?
 
  1. Keeping environmental stimuli at a minimum
  2. Avoiding giving pain medications that could dull sensorium
  3. Measuring head circumference to assess developing complications
  4. Having the child move the head from side to side at least every two hours

[javimendoza7]

Answer to Question 1

Correct Answer: 3
Rationale: A child with spina bifida will continue to have a risk for altered urinary elimination because the bowel and bladder sphincter controls are affected. Urinary retention is a problem, so bladder interventions are initiated early to prevent kidney damage. Risk for Altered Nutrition, Impaired Tissue Perfusion, and Altered Comfort are not problems once surgery has been performed to close the defect.

Answer to Question 2

Correct Answer: 1
Rationale: A quiet environment should be maintained because noise can disturb a child with meningitis. Pain medications are appropriate to give and should be used when needed. Measuring head circumference would only be appropriate for a child less than 2 years. Excessive head movement should be avoided because it can increase irritation of the meninges.