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

Answer and Explanation

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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Correct Answer is C

Explanation

A. "I will cook foods that are low in fat and carbohydrates.": Children with cystic fibrosis often require a high-calorie, high-fat diet to meet their increased energy needs.
B. "My child can chew their enzyme medication with meals.": Enzyme medications should not be chewed as they can irritate the oral mucosa; they should be swallowed whole or sprinkled on soft food.
C. "I will give my child stool softeners for constipation." Constipation is a common issue in cystic fibrosis due to thickened intestinal secretions. Stool softeners help prevent this complication.
D. "My child will be excused from physical education class.": Physical activity is encouraged for children with cystic fibrosis to improve lung function.

A. "I will ensure that my child takes a 1 hour nap each day." B. "I will give my child prednisone as needed for pain." C. "I will apply cool compresses to my child's painful joints during exacerbations." D. "I will have my child wear splints during the night."

Correct Answer is D

Explanation

A. "I will ensure that my child takes a 1-hour nap each day." Prolonged inactivity, like frequent naps, may increase joint stiffness. Physical activity should be encouraged to maintain joint mobility.
B. "I will give my child prednisone as needed for pain." Prednisone is not typically used as needed for pain. NSAIDs are the first-line treatment for inflammation and pain in JIA.
C. "I will apply cool compresses to my child's painful joints during exacerbations." Warm compresses, not cool, are typically more effective in relieving joint stiffness in JIA.
D. "I will have my child wear splints during the night." Wearing splints at night helps maintain joint position and prevent contractures.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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