Nokea
A nurse is educating a family whose child is newly diagnosed with scoliosis. The nurse explains that the goal of therapy is to:
- A. limit or stop progression of the curvature.
- B. prepare the child for surgery.
- C. minimize the psychosocial complications of prolonged immobilization.
- D. develop a pain management protocol that will minimize complications of medications. 115
Correct Answer: A
Rationale: The goal of therapy for scoliosis is to limit or stop the progression of the curvature. This can involve a combination of treatments such as bracing, physical therapy, and sometimes surgery. By addressing the curvature early and implementing appropriate interventions, healthcare providers aim to prevent further worsening of the spinal deformity and improve the long-term outcomes for the child. Minimizing the progression of scoliosis is crucial to prevent complications such as back pain, breathing difficulties, and cosmetic concerns. Therefore, educating the family on the importance of therapy in limiting or stopping the curvature progression is a key aspect of managing scoliosis in children.
You may also like to solve these questions
Which of the following lab value profiles should the nurse know to be consistent with hemolytic anemia?
- A. Increased RBC, decreased bilirubin, decreased Hgb and Hct, increased reticulocytes
- B. Decreased RBC, increased bilirubin, decreased Hgb and Hct, increased reticulocytes
- C. Decreased RBC, decreased bilirubin, increased Hgb and Hct, decreased reticulocytes
- D. Increased RBC, increased bilirubin, increased Hgb and Hct, decreased reticulocytes
Correct Answer: B
Rationale: Hemolytic anemias are characterized by the premature destruction of red blood cells. As a result, the lab values typically seen in hemolytic anemia include decreased red blood cell counts (RBC), increased bilirubin (due to the breakdown of red blood cells), decreased hemoglobin (Hgb) and hematocrit (Hct) levels, and increased reticulocytes (immature red blood cells released from the bone marrow in response to the increased demand for red blood cell production). Therefore, profile B aligns with the expected lab values consistent with hemolytic anemia.
Which finding requires immediate attention in a child with glomerulonephritis?
- A. Sleeping most of the day with BP 170/90.
- B. Urine output of 190 mL in 8 hours with Coca-Cola-colored urine.
- C. Severe headache and photophobia.
- D. Refusal to eat with poor appetite.
Correct Answer: C
Rationale: A severe headache with photophobia may indicate hypertensive encephalopathy; this requires prompt evaluation.
Increased intracranial pressure can cause which of the following?
- A. seizure
- B. nausea
- C. vomiting
- D. all of the above
Correct Answer: D
Rationale: Increased intracranial pressure (ICP) can cause a variety of symptoms, including seizures, nausea, and vomiting. When the pressure inside the skull rises, it can put pressure on the brain tissue, leading to changes in normal brain function. Seizures may occur as a result of the altered brain activity. Nausea and vomiting can also be triggered by increased ICP, as the body's natural response to the disturbance in the brain's normal functioning. Therefore, all of the listed options (seizure, nausea, vomiting) can be caused by increased intracranial pressure.
Which of the following is a nurse patient care role in the preoperative phase?
- A. Obtaining preoperative orders
- B. Offering emotional support
- C. Explaining the surgical procedure
- D. Providing informed consent
Correct Answer: A
Rationale: In the preoperative phase, one of the key roles of a nurse in patient care is to obtain preoperative orders. This involves ensuring that all necessary tests, medications, and procedures are in place before the surgery is performed. By obtaining preoperative orders, the nurse ensures that the patient is adequately prepared for the surgical procedure and that any potential risks or complications are minimized. This role requires attention to detail, clear communication with the healthcare team, and a thorough understanding of the patient's individual needs and medical history.
The initial neurological symptom of Guilain-Barre Syndrome is:
- A. Absent tendon reflex
- B. Paresthesia of the legs
- C. Dysrhythmias
- D. Transient hypertension
Correct Answer: B
Rationale: The initial neurological symptom of Guillain-Barre Syndrome (GBS) is typically paresthesia, which is a tingling or numbness sensation in the legs. GBS is an autoimmune disorder that affects the peripheral nervous system, leading to muscle weakness and paralysis. As the condition progresses, symptoms may worsen and may include absent tendon reflexes, weakness in the arms and legs, and difficulty breathing. However, paresthesia is often one of the earliest and most common symptoms of GBS.