A child is ready for discharge after surgery for a ...

[lak]

A child is ready for discharge after surgery for a myelomeningocele repair. Before discharge, the nurse works with the parents to establish a catheterization schedule to prevent urinary tract infection.
 
  With what frequency should the nurse instruct the parents to catheterize the child?
  1. Every 12 hours
  2. Every 34 hours
  3. Every 68 hours
  4. Every 1012 hours

Question 2

A school-age client is transported to the emergency department by ambulance from the scene of a car accident. The client is alert and oriented  3; pulse, respirations, and blood pressure are stable; and the neck and back are immobilized on a backboard.
 
  The nurse sees no obvious bleeding. The client states, I can't feel or move my legs. Which injury does the nurse suspect?
  1. Traumatic brain injury
  2. Ruptured spleen
  3. Traumatic shock
  4. Spinal cord injury

[shailee]

Answer to Question 1

Correct Answer: 2
Rationale: To decrease the incidence of bladder or urinary tract infections, catheterization should occur every 34 hours.

Answer to Question 2

Correct Answer: 4
Rationale: Spinal cord injury results in paralysis and anesthesia of the affected body parts below the level of the lesion. Altered levels of consciousness may indicate traumatic brain injury. The child may have a ruptured spleen, but it is not evident from the data given. Traumatic shock results in initially increasing then decreasing pulse and respirations, and falling blood pressure.

[lak]

Correct answers!

[shailee]

Great! Please up vote