help control Pamela’s spasticity.
help control Pamela’s spasticity.
Chapter 44: Nursing Care of the Child With a Neuromuscular Disorder
1. Pamela Souza, 6 years old, was born with cerebral palsy. Pamela suffers from general spasticity, mental impairment, impaired vision and hearing, and hydrocephalus. She has been admitted to the pediatric unit for evaluation of intrathecal spasticity control. (Learning Objectives 2, 3, 4, and 6)
a. Identify medications that might be used to help control Pamela’s spasticity.
b. What information would the nurse include in the health history?
c. What nursing interventions would be important in Pamela’s care?
d. What information would be important to include in a teaching plan for Pamela and her family?
2. Kyle Stephens, 15 years old, is brought to the emergency department by ambulance after a diving accident at a local lake. (Learning Objectives 1, 2, 3, 4, and 7)
a. What nursing assessments would be important for Kyle?
b. What diagnostic tests would the nurse expect to be ordered for Kyle?
Kyle is found to have crushed vertebrae at the S4-5 level with a partially severed spinal cord.
c. What would be important teaching points for Kyle and his family?
Chapter 49: Nursing Care of the Child With an Endocrine Disorder
1. Jalissa Twyman, 8 years old, was admitted to the pediatric intensive care unit with a closed head trauma after being involved in a bicycle/motor vehicle accident. Jalissa is unconscious. The nurses caring for Jalissa document a weight loss of 1.82 kg over a 24-hour period, decreased skin turgor, and dry mucous membranes. Urine output for the same 24-hour period is 3.5 L/m2. (Learning Objectives 1, 2, 3, 4, 5, and 7)
a. What further assessments should the nurse perform on Jalissa?
b. What laboratory tests would the nurse expect to be performed on Jalissa?
c. What nursing interventions should be done for Jalissa?
2. Aellai Gianopoulos, 13 years old, is brought to the clinic by her mother, who states that Aellai is losing her hair. Vital signs are as follows: T 98.4°F, HR 85, R 15, BP 121/78. Height is 64 in., and weight is 81.5 kg.
Aellai has an olive complexion marred by acne, large brown eyes, and long black hair that is very thin on the top of her head. Her breasts are small and she has an abundance of hair on her arms and legs. She reached puberty approximately 6 months ago. (Learning Objective 1, 2, 3, 4, 5, 7, and 8)
a. What other information should the nurse gather in the health history?
b. What laboratory tests would the nurse expect to be ordered for Aellai?
c. What should the nurse include in the teaching plan for Aellai and her family?
