A child with myelomeningocele, corrected at birth,is now 5 years old. What is a priority nursing diagnosis for a child with corrected spina bifida at this age?
1. Risk for Altered Nutrition
2. Risk for Impaired TissuePerfusion–Cranial
3. Risk for Altered Urinary Elimination
4. Risk for Altered Comfort
Answer:3
Rationale: A child with spina bifida will continue to have a risk for altered urinary elimination because the bowel and bladder sphincter controls are affected. Urinary retention is a problem,so bladder interventions are initiated early to prevent kidney damage.Risk for Altered Nutrition,Impaired Tissue Perfusion, and Altered Comfort are not problems once surgery has been performed to close the defect.
You might also like to view...
Design decisions evolve while the investigation is in progress in both qualitative and quantitative studies
A) True B) False
What is the purpose of an elemental formula such as Optimental or Vivonex?
a. A formula with intact protein containing balanced amounts of macronutrients that will often meet a patient's nutrient requirements. b. A formula that provides all of the nutritional requirements for a patient that is given by the intravenous (IV) route. c. A formula that is often predigested for patients with limited GI function. d. A formula designed for a use as a supplement in a clinical condition or disease state.
Which topics will the nurse include when preparing to teach a patient with recurrent genital herpes simplex (select all that apply)?
a. Infected areas should be kept moist to speed healing. b. Sitz baths may be used to relieve discomfort caused by the lesions. c. Genital herpes can be cured by consistent use of antiviral medications. d. Recurrent genital herpes episodes usually are shorter than the first episode. e. The virus can infect sexual partners even when you do not have symptoms of infection.
Which of the following would be the most likely source of funding for services provided in a comprehensive primary care center?
A) Government grants B) Medical insurance plans C) Another nurse-managed care center D) Private contracts