A nurse is planning care for a child who has cerebral palsy and is experiencing muscle spasms. Which of the following medications should the nurse expect to administer?
Indomethacin
Baclofen
Methotrexate
Carbamazepine
The Correct Answer is B
A. Indomethacin: This is a nonsteroidal anti-inflammatory drug (NSAID) for pain or inflammation but does not relieve muscle spasms.
B. Baclofen: Baclofen is a muscle relaxant commonly used to manage spasticity in cerebral palsy.
C. Methotrexate: This is an immunosuppressant used for conditions like rheumatoid arthritis, not spasticity.
D. Carbamazepine: This is an anticonvulsant used for seizures, not muscle spasticity.
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Related Questions
Correct Answer is D
Explanation
A. Apply a transparent dressing to the site after the venipuncture. A pressure dressing is more appropriate to control bleeding in a child with hemophilia.
B. Apply a cold compress to the site prior to obtaining the sample. Cold compresses reduce swelling but are not required prior to venipuncture.
C. Perform an Allen test prior to obtaining the blood sample. An Allen test is used to evaluate arterial circulation before arterial blood sampling, not for venipuncture.
D. Obtain the sample using venipuncture. Venipuncture is preferred over heel sticks or finger pricks for children with hemophilia because it minimizes trauma and bleeding.
Correct Answer is A
Explanation
A. "Maintain aseptic technique during the child's dressing changes." Aseptic technique reduces the risk of infection, which is critical for children with burns as their immune response may be compromised.
B. "Provide low-calorie snacks for the child several times each day." Children with burns require a high-calorie, high-protein diet to promote healing and compensate for increased metabolic demands.
C. "Apply continuous passive motion devices to the child's lower extremities during periods of rest." Passive motion devices are not typically indicated for burn injuries unless there is joint involvement requiring physical therapy for mobility restoration.
D. "Administer pain medication to the child 30 min following physical therapy." Pain medication should be administered before physical therapy to improve tolerance and participation.
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