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Nursing Challengers By - Subhash Choudhary
The nurse is taking a health history of a 6-year-old girl with suspected dermatomyositis. During the physical examination, which of the following would help confirm the nurse's suspicions? ~ Nursing Challengers By Subhash Choudhary
a) Tenting of skin
b) Ptosis or altered eye movements
c) Red-purple rash on upper eyelids, knuckles, elbows, and knees
d) Delayed capillary refill
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Nursing Challengers By - Subhash Choudhary
Parents of a preschooler with cerebral palsy ask the nurse what the surgeon plans to implant in their child's body to control spasticity. What is the nurse's answer? ~ Nursing Challengers By Subhash Choudhary
a) Vagal nerve stimulator
b) Baclofen pump
c) Central venous catheter
d) Botulinum toxin
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Nursing Challengers By - Subhash Choudhary
Based on knowledge of the progression of muscular dystrophy, which activity would a nurse anticipate the client having difficulty with first? ~ Nursing Challengers By Subhash Choudhary
a) Standing
b) Sitting
c) Breathing
d) Swallowing
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Nursing Challengers By - Subhash Choudhary
The nurse is planning to teach the parents of a child with newly diagnosed muscular dystrophy about the disease. Which definition should she use to best describe this condition? ~ Nursing Challengers By Subhash Choudhary
a) Degeneration of muscle fibers
b) Upper motor neuron lesions
c) Lesions of the brain cortex
d) A demyelinating disease
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Nursing Challengers By - Subhash Choudhary
The nurse is conducting a physical examination of a 9-month-old infant with a suspected neuromuscular disorder. Which finding would warrant further evaluation? ~ Nursing Challengers By Subhash Choudhary
a) Presence of symmetrical spontaneous movement
b) Absence of Moro reflex
c) Presence of Moro reflex
d) Absence of tonic neck reflex
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Nursing Challengers By - Subhash Choudhary
The nurse caring for an infant with myelomeningocele before surgical intervention will prioritize care in what way? ~ Nursing Challengers By Subhash Choudhary
a) Change position from side to side hourly
b) Cover the sac with a saline-moistened dressing
c) Keep the mass uncovered and dry
d) Prevent cold stress using an Isolette and blankets
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Nursing Challengers By - Subhash Choudhary
The mother of a 3-year-old with a myelomeningocele is thinking about having another baby. The nurse should inform the woman that she should increase her intake of which acid? ~ Nursing Challengers By Subhash Choudhary
a) Folic acid above 0.4 mg/day
b) Ascorbic acid to 4 mg/day
c) Folic acid to 0.4 mg/day
d) Ascorbic acid to 0.4 mg/day
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Nursing Challengers By - Subhash Choudhary
What is the priority nursing intervention for the child recently admitted with Guillian-Barre syndrome? ~ Nursing Challengers By Subhash Choudhary
1. Perform range of motion exercises
2. Take temperature every 4 hours
3. Monitor respiratory status closely
4. Assess skin frequently
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Nursing Challengers By - Subhash Choudhary
A 14-year-old with systemic lupus erythematosus wants to know how to care for her skin. What should the nurse teach this adolescent? ~ Nursing Challengers By Subhash Choudhary
A. Careful sun tanning will give her skin an attractive color.
B. No special skin care is needed.
C. Use sunscreen daily to avoid rashes.
D. Use makeup to camouflage the butterfly rash on her face.
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Nursing Challengers By - Subhash Choudhary
The nurse is caring for a 6-year-old with juvenile idiopathic arthritis. The mother states that she has trouble getting her daughter out of bed in the morning and believes the girl's behavior is due to a desire to avoid going to school. What is the best advice by the nurse? ~ Nursing Challengers By Subhash Choudhary
A. Refer the girl to a psychologist for evaluation of school phobia related to chronic illness.
B. Administer a warm bath every morning before school.
C. Give the child her prescribed NSAIDs 30 minutes before getting out of bed.
D. Allow her to stay in bed some mornings if she wants.
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