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The nurse is continuing to care for the infant.

Exhibits

Drag words from the choices below to fill in each blank in the following sentence.

Based on the findings in the infant's electronic medical record, the nurse determines that the infant is at risk for developing

and.
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

The infant is at risk for developing aspiration pneumonia and esophageal strictures.

Rationale:

  • Aspiration pneumonia: GER can cause stomach contents to enter the respiratory tract, leading to aspiration pneumonia.
  • Esophageal strictures: Chronic irritation from stomach acid can result in scarring and narrowing of the esophagus.


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Related Questions

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

Explanation

Findings that require immediate follow-up:

  • Generalized muscle weakness noted in bilateral lower extremities: This could indicate a neurological or muscular issue, such as Guillain-Barré Syndrome (GBS), which is a concern after a viral infection or vaccination. This requires further investigation and close monitoring for any signs of progression, such as worsening weakness or respiratory involvement.
  • Child reports pain in legs on palpation, rates pain as 5 on a scale of 0 to 10: This pain could be indicative of muscle cramping or weakness, which may be associated with GBS or another neurological condition. Pain in combination with muscle weakness should be followed up closely.
  • Abdomen slightly firm, bowel sounds hypoactive, and reports last bowel movement was 3 days ago: This could suggest constipation or a gastrointestinal issue. However, the gastrointestinal symptoms may be secondary to the muscle weakness (if part of a systemic condition like GBS), and should be monitored, but it’s not as urgent as the neurological findings.

Findings that do not require immediate follow-up:

  • Patellar deep tendon reflexes 1+ bilaterally: A 1+ reflex is on the lower end of normal and does not indicate a severe problem by itself.
  • Child is awake and alert, responds appropriately to questions: This is a reassuring sign and does not require immediate follow-up.

Correct Answer is B

Explanation

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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