A nurse should plan to assess a child receiving Baclofen from an intrathecal pump for which effect?
Interactions with seizure medications.
Increase in dystonia.
Reduction in muscle tone.
Decreased mobility.
The Correct Answer is C
Choice A rationale:
Baclofen from an intrathecal pump primarily affects muscle tone and spasticity, not seizure medications .
Choice B rationale:
Baclofen use generally leads to a reduction in dystonia , not an increase. It's used to manage spasticity, not exacerbate it.
Choice C rationale:
The correct answer. Baclofen administered via an intrathecal pump is intended to reduce muscle tone and spasticity, improving mobility and comfort for patients with conditions like cerebral palsy.
Choice D rationale:
Baclofen doesn't typically cause decreased mobility . In fact, its use is expected to enhance mobility by reducing spasticity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Meconium ileus is a concern in newborns with cystic fibrosis due to thick meconium, which can cause intestinal obstruction. At 16 years old, this complication is not relevant to the client's current condition.
Choice B rationale:
Blood-streaked sputum is a likely finding in a 16-year-old with cystic fibrosis and decreased pulmonary function. Cystic fibrosis leads to mucus accumulation and lung infections, which can cause blood vessels to rupture, resulting in blood-streaked sputum.
Choice C rationale:
Clear breath sounds bilaterally indicate healthy lung function, which is not expected in a client with cystic fibrosis and decreased PFT results. Breath sounds are likely to be diminished due to mucus accumulation.
Choice D rationale:
Dyspnea, or difficulty breathing, is a common symptom in clients with cystic fibrosis and decreased pulmonary function. However, the question asks about the expected findings that the nurse should assess, not a symptom that the client might report.
Correct Answer is D
Explanation
Choice A rationale:
Performing passive range-of-motion exercises could worsen the bleeding in a patient with hemarthrosis due to hemophilia. Immobilization minimizes movement, reducing the risk of bleeding.
Choice B rationale:
While oxygen administration might be indicated in certain situations, it's not the primary intervention for hemarthrosis. The focus should be on preventing further bleeding and complications.
Choice C rationale:
Elevating the head of the bed is generally recommended for improving oxygenation, but it's not the primary concern in managing hemarthrosis.
Choice D rationale:
Immobilizing the affected joint is crucial to prevent movement that could exacerbate bleeding. This approach is aimed at minimizing damage and controlling bleeding in a patient with hemophilia.
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