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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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:

An increasing pulse rate suggests that the patient's condition is worsening. Tachycardia can indicate increased work of breathing and decreased oxygenation, which are concerning signs in laryngotracheobronchitis.

Choice B rationale:

Mouth breathing is a common response to airway obstruction, such as in laryngotracheobronchitis. While it indicates respiratory distress, it doesn't specifically suggest a worsening of the condition.

Choice C rationale:

An increase in nasal discharge might be seen with the common cold or other upper respiratory infections but is not a specific indicator of worsening laryngotracheobronchitis.

Choice D rationale:

A hoarse cry is a characteristic symptom of laryngotracheobronchitis due to inflammation of the airway. However, it is a common initial symptom and may not directly correlate with worsening of the condition.

A. Expiratory wheezing. B. Inspiratory crackle. C. Expiratory grunting. D. Inspiratory stridor.

Correct Answer is A

Explanation

Choice A rationale:

Expiratory wheezing is characteristic of asthma exacerbation. It indicates airway constriction and narrowing, leading to difficulty in exhaling and resulting in a high-pitched sound during expiration.

Choice B rationale:

Inspiratory crackle is not typically associated with asthma. Crackles are often heard in conditions involving fluid-filled airways, such as pneumonia.

Choice C rationale:

Expiratory grunting is not a common finding in asthma. Grunting sounds may be present in infants with respiratory distress, indicating the difficulty they experience while exhaling.

Choice D rationale:

Inspiratory stridor is not a usual manifestation of asthma. Stridor is more commonly related to upper airway obstruction, often seen in croup or epiglottitis.

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A nurse should plan to assess a child receiving Baclofen from an intrathecal pump for which effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is admitted from the emergency room with laryngotracheobronchitis. The patient has a brassy cough, stridor, and substernal retractions. The child is receiving an intravenous infusion and is placed in a mist tent. Which observation would indicate a worsening of the patient's condition?

Correct Answer is A

Explanation

Which adventitious breath sound would a nurse expect to auscultate in a child admitted with an asthma exacerbation?

Correct Answer is A

Explanation

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