A child is admitted to the hospital with spastic cerebral palsy. The nurse will assess for which manifestations associated with this disorder?
a. Tremulous movements at rest and with activity
b. Sudden jerking movement caused by stimuli
c. Writhing, uncontrolled, involuntary move-ments
d. Clumsy, uncoordinated movements
B
Spastic cerebral palsy, the most common type of cerebral palsy, will manifest with hypertonicity and increased deep tendon reflexes. The child's muscles are very tight and any stimuli may cause a sudden jerking movement. Tremulous movements are characteristic of rigid/tremor/atonic cerebral palsy. Slow, writhing, uncontrolled, involuntary movements occur with athetoid or dyskinetic cerebral palsy. Clumsy movements and loss of coordination, equilibrium, and kinesthetic sense occur in ataxic cerebral palsy.
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a. Reassure the patient that these feelings are common for parents. b. Have the patient call the children to ensure that they are doing well. c. Gather more data about the patient's feelings about the child-care arrangements. d. Call the patient's parents to determine whether adequate child care is being provided.
Giving a patient information about their illness means that the nurse ______.
a. gives most important information first and repeats it b. tells them everything about the illness c. gives them a list of books to read d. gives a powerpoint presentation on the illness
The patient receives aspirin. The nurse assesses an adverse effect to this drug when the patient makes which response?
1. "My stools have been gray in color." 2. "There is a constant ringing in my ears." 3. "Bright lights give me a headache." 4. "I have to get up a lot at night to urinate."
Interruption or damage to the blood supply to the heart muscle is known as a myocardial infarction or heart attack
True False