Therapeutic management of a child with tetanus includes the ...

[Chelseaamend]

Therapeutic management of a child with tetanus includes the administration of:
 
  a. Nonsteroidal antiinflammatory drugs (NSAIDs) to reduce inflammation.
  b. Muscle stimulants to counteract muscle weakness.
  c. Bronchodilators to prevent respiratory complications.
  d. Antibiotics to control bacterial proliferation at the site of injury.

Question 2

Latex allergy is suspected in a child with spina bifida. Appropriate nursing interventions include:
 
  a. Avoiding using any latex product.
  b. Using only nonallergenic latex products.
  c. Administering medication for long-term desensitization.
  d. Teaching the family about long-term management of asthma.

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Answer to Question 1

ANS: D
Antibiotics are administered to control the proliferation of the vegetative forms of the organism at the site of infection. Tetanus toxin acts at the myoneural junction to produce muscular stiffness and lowers the threshold for reflex excitability. NSAIDs are not routinely used. Sedatives or muscle relaxants are used to help reduce titanic spasm and prevent seizures. Respiratory status is carefully evaluated for any signs of distress because muscle relaxants, opioids, and sedatives that may be prescribed may cause respiratory depression. Bronchodilators would not be used unless specifically indicated.

Answer to Question 2

ANS: A
Care must be taken that individuals who are at high risk for latex allergies do not come in direct or secondary contact with products or equipment containing latex at any time during medical treatment. There are no nonallergenic latex products. At this time desensitization is not an option. The child does not have asthma. The parents must be taught about allergy and the risk of anaphylaxis.

[Chelseaamend]

Gracias!

[31809pancho]

TYSM