The nurse is preparing a staff education in-service session for a group of new graduate nurses who will be working in a long-term care facility for children; many of the children have cerebral palsy (CP)
What statement should the nurse include in the training?
a. Children with dyskinetic CP have a wide-based gait and repetitive movements.
b. Children with spastic pyramidal CP have a positive Babinski sign and ankle clonus.
c. Children with hemiplegia CP have mouth muscles and one lower limb affected.
d. Children with ataxic CP have involvement of pharyngeal and oral muscles with dysarthria.
ANS: B
CP has a variety of clinical classifications. Spastic pyramidal CP includes manifestations such as a positive Babinski sign and ankle clonus; ataxic CP has a wide-based gait and repetitive movements; hemiplegia CP is characterized by motor dysfunction on one side of the body with upper extremity more affected than lower limbs; and dyskinetic CP involves the pharyngeal and oral muscles, causing drooling and dysarthria.
You might also like to view...
A nurse is caring for a client who has a lack of appetite. Which of the following is most likely to influence a client's core body temperature?
A) Minerals B) Proteins C) Fiber D) Vitamins
A patient is prescribed corticosteroid therapy. What would be priority information for the nurse to give the patient who is prescribed long-term corticosteroid therapy?
A) The patient's diet should be low protein with ample fat. B) The patient may experience short-term changes in cognition. C) The patient is at an increased risk for developing infection. D) The patient is at a decreased risk for development of thrombophlebitis and thromboembolism.
Mr. Quitman is 70 years old, weighs 132 lb, and is 5 ft 9 in. tall. At his follow-up appointment after several tests, his physician told him that he has bladder cancer and referred him to an oncologist. The oncologist explained that the treatment regimen will include an IV injection of doxorubicin for 3 consecutive days every 3 to 4 weeks. The oncologist ordered doxorubicin 45 mg by IV injection for the first three daily doses. On hand are 10 mL single-use vials of doxorubicin 
. According to the package insert, the usual dose is 60-90 mg/m2 IV injection every 21 days, 20-30 mg/m2/day IV for 3 consecutive days every 3 to 4 weeks, or 20 mg/m2 IV weekly, for
a total cumulative dose of 550 mg/m2. Determine whether this is a safe dose for this patient. If the dose is safe, calculate the amount to administer: ________. If the dose is not safe, write: not safe. Fill in the blank(s) with the appropriate word(s).
At a health care organization, patients are turned every two hours to help prevent pressure ulcers. Because of this nursing intervention, patients exhibit far fewer pressure ulcers than the national average. This is known as what?
A. Clinical variable B. Qualitative research C. Quantitative research D. Nursing-sensitive outcome