Author Question: The nurse is caring for a child with a spinal cord injury and providing instructions on promoting ... (Read 62 times)

sabina · **on:** Jun 27, 2018

The nurse is caring for a child with a spinal cord injury and providing instructions on promoting skin integrity. Which of the following responses from the mother indicates a need for further teaching?

A) I need to monitor his skin at least twice a week.
B) I must monitor the skin areas affected by his adaptive equipment.
C) He must change positions frequently.
D) We must avoid harsh cleaning products.

Question 2

The nurse is caring for a 2-month-old with cerebral palsy. The infant is limp and flaccid with uncontrolled slow, worm-like, writhing or twisting movements. How would the nurse best document these movements?

A) Spastic
B) Athetoid
C) Ataxic
D) Mixed

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

Answer to Question 1

A
Response:
The nurse needs to emphasize to the mother that she must monitor the condition of the entire skin surface several times daily to provide a baseline and allow for early identification of areas at risk. The other statements are correct.

Answer to Question 2

B
Response:
Athetoid is the type of cerebral palsy that is characterized by abnormal involuntary movements. It affects all four extremities, with possible involvement of the face, neck, and tongue. The movements increase during periods of stress. Dysarthria and drooling may be present as well.