A child with a diagnosis of schizencephaly is assigned to a new nurse on the pediatric floor. The new nurse has not worked with a child with this diagnosis before. A career nurse discusses the plan of care needed for the child with the new nurse
It will be important to: 1. Assess the side of the body that has paralysis for any lesions or sores.
2. Let the patient do as much as possible for activities of daily.
3. Discourage the patient to move the paralyzed side of the body.
4. Provide full care for the patient.
1
Feedback
1. Skin breakdown can occur because of the lack of mobility for the affected side of the body.
2. The child may be lower functioning and not be able to understand how to do ADLs or have the physical ability to do them.
3. Movement is important, but not the priority.
4. Encouragement to do as much as possible is important for independence, but the child will need supervision.
You might also like to view...
A patient tells the nurse that he is planning to hire a private detective to follow his wife, who he believes is having an extramarital affair
The patient looks behind the door to be sure no one is eavesdropping and asks the nurse what she did with his medical record after he left. The patient's behaviors are most consistent with a diagnosis of: a. antisocial personality disorder. b. schizoid personality disorder. c. paranoid personality disorder. d. obsessive-compulsive personality disorder.
The nurse is implementing precautions to prevent the spread of methicillin-resistant Staphylococcus aureus (MRSA) among the clients on a care area. The type of precautions for this disease process are:
a. standard precautions. c. strict isolation. b. airborne precautions. d. droplet precautions.
The nurse notes that a client is prescribed a medication that inhibits the absorption of some nutrients. Which characteristic pharmokinetics is this medication affecting?
a. Excretion b. Chelation c. Metabolism d. Bioavailability
Which statement is correct regarding the use of asthma medications during pregnancy?
A. The use of these medications during the first trimester is an indication for termination of pregnancy. B. Asthma medications pose no potential harm to a developing fetus and may be taken as needed. C. The use of these medications is contraindicated throughout pregnancy. D. Untreated asthma may be more detrimental to the developing fetus than drugs used to treat it.