A child with cerebral palsy (CP) is taking baclofen, a relaxant. Which assessment finding indicates to the practical nurse (PN) that the drug is eﬀective?

Increased appetite.

Sufficient urinary output.

Fewer temper outbursts.

Decreased muscular spasticity.

Answer and Explanation

The Correct Answer is A

Baclofen is a muscle relaxant that can help relieve muscle spasms and manage conditions such as cerebral palsy¹. An assessment finding that indicates the drug is eﬀective for a child with cerebral palsy would be decreased muscular spasticity. This means that the child's muscles are less stiﬀ and rigid, which can improve their mobility and overall quality of life.

The other choices are incorrect because they are not directly related to the therapeutic eﬀects of baclofen. Baclofen is a muscle relaxant that is used to relieve muscle spasms and stiﬀness. While it may have other eﬀects on the body, its primary therapeutic eﬀect is to decrease muscular spasticity.

Increased appetite is not a known eﬀect of baclofen.
Sufficient urinary output is important for overall health, but it is not directly related to the eﬀectiveness of baclofen.
Fewer temper outbursts may be an indirect result of decreased muscular spasticity and improved mobility, but it is not a direct eﬀect of baclofen.

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Correct Answer is C

Explanation

Albuminuria, or the presence of albumin in the urine, is an early sign of relapse in a toddler with minimal change nephrotic syndrome (MCNS) who has been treated with corticosteroids. MCNS is a kidney disorder that can cause the body to excrete too much protein in the urine, leading to albuminuria. The practical nurse should recognize this finding as an early sign of relapse and take appropriate action to manage the child's condition.

The other answers are incorrect because they are not directly related to the early signs of relapse in a toddler with minimal change nephrotic syndrome (MCNS) who has been treated with corticosteroids.

Increased thirst is not a known early sign of relapse in MCNS.
Tachypnea, or rapid breathing, is not a known early sign of relapse in MCNS.
A rounded face can be a side eﬀect of corticosteroid treatment, but it is not an early sign of relapse in MCNS.

A. Mindfulness. B. Guided imagery. C. Biofeedback. D. Cognitive reframing.

Correct Answer is B

Explanation

Guided imagery is a technique that can help the client to relax and reduce anxiety by imagining a peaceful and calming scene. This technique can be helpful for clients waiting for surgery to reduce stress and promote relaxation.

Option A (mindfulness) may also be helpful, but it may require more practice and preparation than guided imagery.

Option C (biofeedback) may not be feasible in the preoperative holding area, and

Option D (cognitive reframing) may not be helpful in the immediate preoperative period.

Therefore, options A, C, and D are not answers because they may not be the most eﬀective technique to help the client in the preoperative holding area.

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A child with cerebral palsy (CP) is taking baclofen, a relaxant. Which assessment finding indicates to the practical nurse (PN) that the drug is eﬀective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is caring for a toddler during a follow-up visit after corticosteroid treatment for minimal change nephrotic syndrome (MCNS). Which finding should the PN recognize as an early sign of relapse?

Correct Answer is C

Explanation

The practical nurse (PN) is caring for a client in the preoperative holding area who is waiting for abdominal surgery. The client tells the PN about feeling afraid and anxious because of the surgery. Which technique is best for the PN to assist the client to use while waiting for surgery?

Correct Answer is B

Explanation

The practical nurse (PN) is assisting with the admission of a 12-month-old child with a history of frequent colds and growth failure. Testing is being planned for a possible diagnosis of cystic fibrosis (CF). Which information is most important for the PN to obtain?

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