A nurse is creating a plan of care for a child who is 8 years of age and has a prescription for anticonvulsant medication to take for the management of chronic pain. Which of the following recommendations should the nurse plan to make? (Select All that Apply.)

Do not take the medication longer than a week.

Liver enzymes should be checked before starting.

An increased risk of suicide is associated with this medication.

Consult the prescriber for any dose adjustments.

Do not take with anti-anxiety medications.

Answer and Explanation

Correct Answer : B,C,D,E

A. Anticonvulsants for chronic pain management are typically taken long-term and not limited to one week.

B. Many anticonvulsants are metabolized in the liver, so baseline liver function tests are necessary before starting therapy.

C. Anticonvulsants have been associated with an increased risk of suicidal ideation, and families should be advised to monitor for mood changes.

D. Any dose adjustments should be made under the supervision of the prescriber to prevent adverse effects.

E. Anticonvulsants can have sedative effects and should not be taken with anti-anxiety medications without medical supervision, as this can increase the risk of CNS depression.

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Correct Answer is D

Explanation

A. Counting backward from 20 to 1 is typically expected around age 8, not age 7.

B. Dressing and grooming independently are typically expected by age 5 to 6, not exclusive to school age.

C. Using tools like a screwdriver is more characteristic of older school-age children, not typical at age 6.

D. By age 6, children develop balance and coordination, allowing them to perform activities like jumping rope.

A. X-rays B. CT scan C. Lumbar puncture D. Magnetic stimulation E. Magnetic resonance imaging (MRI)

Correct Answer is ["A","B","E"]

Explanation

A. X-rays are often the first imaging test used to assess bone fractures and spinal alignment.

B. A CT scan provides detailed cross-sectional images of the spine, helping identify fractures and other injuries.

C. A lumbar puncture is used to analyze cerebrospinal fluid, not to diagnose spinal trauma.

D. Magnetic stimulation is used for therapeutic purposes, not for diagnosing spinal injuries.

E. MRI provides detailed images of soft tissues, such as spinal cord injuries or disc herniation.

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A nurse is creating a plan of care for a child who is 8 years of age and has a prescription for anticonvulsant medication to take for the management of chronic pain. Which of the following recommendations should the nurse plan to make? (Select All that Apply.)

Nursing Test Bank

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A nurse is teaching a newly hired nurse about motor skill development of school-age clients who are 6 to 12 years old. Which of the following statements by the newly hired nurse demonstrates effective teaching?

Correct Answer is D

Explanation

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Correct Answer is ["A","B","E"]

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A nurse is creating a plan of care for a child who is 8 years of age and has a prescription for anticonvulsant medication to take for the management of chronic pain. Which of the following recommendations should the nurse plan to make? (Select All that Apply.)

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