A nurse is caring for a child with spina bifida and an associated complication of hydrocephalus with neurological damage.
Which of the following conditions should the nurse expect to accommodate during care?

Hearing loss.

Speech problems.

Frequent seizures.

Difficulty walking.

Cognitive delays.

Answer and Explanation

Correct Answer : B,D,E

Choice A rationale

While hearing loss can occur in some individuals with spina bifida due to associated anomalies or complications like meningitis, it is not as universally expected as other neurological impairments. The primary impact of hydrocephalus and neurological damage often manifests in areas directly related to brain development and function, making hearing loss a less common direct consequence.

Choice B rationale

Neurological damage associated with hydrocephalus and spina bifida frequently affects brain regions responsible for speech production and language processing. This can lead to various speech problems, including dysarthria or apraxia of speech, due to impaired motor control or cognitive deficits impacting linguistic expression and comprehension.

Choice C rationale

Frequent seizures are a potential complication of hydrocephalus and neurological damage due to abnormal electrical activity in the brain caused by structural anomalies or increased intracranial pressure. However, while possible, they are not as universally present in all cases as other common motor and cognitive impairments, making them a less frequent expectation.

Choice D rationale

Spina bifida often involves malformations of the spinal cord, directly impacting nerve function to the lower extremities. Hydrocephalus, by causing increased intracranial pressure and brain damage, can further impair motor control pathways. This combination frequently leads to motor deficits, resulting in varying degrees of difficulty walking or complete paralysis.

Choice E rationale

Hydrocephalus, especially when associated with neurological damage, can significantly impair cognitive development due to increased intracranial pressure and damage to brain tissue. This can manifest as delays in various cognitive domains, including learning, memory, problem-solving, and executive functions, impacting overall intellectual functioning.

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Correct Answer is ["112"]

Explanation

Step 1: Calculate the minimum daily dose based on the safe dose range. Minimum safe dose per kg = 8 mg/kg/day. Child's weight = 14 kg. Minimum daily dose = 8 mg/kg/day × 14 kg = 112 mg/day. The minimum dose the child should receive per day is 112 mg.

A. Leadership is not concerned with getting work done. B. Leadership is more focused on people. C. Management focuses on budget. D. Management is an assigned position.

Correct Answer is ["B","D"]

Explanation

Choice A rationale

This statement is inaccurate because leadership inherently involves guiding individuals and teams towards achieving organizational objectives and getting work done. Effective leaders inspire action and commitment, which directly contributes to productivity and goal attainment, even though their approach differs from management's direct task orientation.

Choice B rationale

Leadership is indeed more focused on people. It involves inspiring, motivating, and empowering individuals to achieve shared goals. This human-centric approach fosters collaboration, innovation, and personal growth within the team, contrasting with management's primary focus on tasks and operational processes.

Choice C rationale

While management does involve budget allocation and financial oversight as part of its planning and controlling functions, this is not its sole or defining focus. Management encompasses a broader range of responsibilities including organizing resources, directing personnel, and controlling operations to achieve specific objectives.

Choice D rationale

Management is typically an assigned position within an organizational hierarchy, granting formal authority and responsibility for specific functions or departments. This contrasts with leadership, which can emerge organically within a group regardless of formal title, based on influence and inspiration.

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A nurse is caring for a child with spina bifida and an associated complication of hydrocephalus with neurological damage. Which of the following conditions should the nurse expect to accommodate during care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child (14kg) is ordered Clindamycin Suspension 120mg PO every 6 hours. The safe dose is 8-25mg/kg/day. What is the minimum dose the child should receive per day?

Correct Answer is ["112"]

Explanation

What is the difference between management and leadership?

Correct Answer is ["B","D"]

Explanation

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A nurse is caring for a child with spina bifida and an associated complication of hydrocephalus with neurological damage.
Which of the following conditions should the nurse expect to accommodate during care?