The nurse is teaching the kindergarten teacher about a 5-year-old ...

[abern]

The nurse is teaching the kindergarten teacher about a 5-year-old who will be starting school and has cerebral palsy. She has a continuous Baclofen pump. The nurse informs the teacher of possible side effects of this drug, including:
 
  1. Diarrhea.
   2. Hypotonia.
   3. Restlessness.
   4. Hypertonia.

Question 2

In caring for a hospitalized 8-year-old child with myelodysplasia, the nurse should remember to: (Select all that apply.)
 
  1. Use latex precautions.
   2. Ensure that the child has a low-fiber diet.
   3. Expect the child to have normal intelligence.
   4. Allow the child to do her own self-catheterization.
   5. Encourage the child to shift positions hourly when in her wheelchair.

[shayla]

Answer to Question 1

2
Rationale:
1. Continuous Baclofen infusion does not cause diarrhea.
2. Hypotonia is possible if the child is getting too much Baclofen.
3. Restlessness is not seen with Baclofen; rather, these children can be drowsy and sleepy.
4. Hypertonia is not seen as a side effect of Baclofen infusion.

Answer to Question 2

1, 3, 4, 5
Rationale:
1. Children with myelodysplasia are at great risk for latex allergy. It is important to use latex-free products.
2. Children with myelodysplasia need a high-fiber diet to maintain adequate stool and bowel function.
3. Many children with myelodysplasia have normal intellect. They should be treated according to their intellectual level, rather than their motor development.
4. Self-catheterization fosters independence in this child. It is important to maintain the same schedule as much as possible when this child is hospitalized.
5. Due to decreased sensation in the buttocks and lower extremities, it is very important for the child to shift positions while she is in her wheelchair, to prevent pressure sores.
Cognitive level: Analysis
Client Need: Health Promotion and Maintenance
Nursing Process: Implementation
Learning Objective 33-5 Develop a nursing care plan for the child with myelodysplasia and hydrocephalus.

[abern]

Excellent

[nyrave]

TYSM