The nurse is preparing to administer botulinum toxin to a child with spastic cerebral palsy. How will the nurse administer this medication?

Oral suspension.

Intravenous infusion.

Subcutaneous injection.

Intramuscular injection.

Answer and Explanation

The Correct Answer is D

Choice A reason: Oral suspension is not an appropriate method for administering botulinum toxin. This medication is not effective when taken orally and needs to be administered directly into the muscle to address spasticity.

Choice B reason: Intravenous infusion is also not the appropriate method for administering botulinum toxin. The medication is intended to act locally at the site of injection to reduce muscle spasticity, and intravenous administration would not achieve the desired localized effect.

Choice C reason: Subcutaneous injection is not the correct method for administering botulinum toxin. This medication needs to be injected directly into the muscle to have a therapeutic effect on muscle spasticity.

Choice D reason: Intramuscular injection is the correct method for administering botulinum toxin. The medication works by blocking the release of acetylcholine at the neuromuscular junction, thereby reducing muscle spasticity. Administering it directly into the muscle ensures that the medication reaches its target and provides the desired therapeutic effect.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Lack of prenatal care is a significant risk factor for neural tube defects, including myelomeningocele, because it often means the mother did not receive important prenatal vitamins like folic acid, which are crucial for proper neural tube development. Prenatal care provides essential screenings and supplements to support a healthy pregnancy and fatal development. Without it, the risk of congenital anomalies, such as myelomeningocele, increases significantly. Additionally, prenatal care helps in identifying and managing other risk factors and conditions that may affect both maternal and fatal health.

Choice B reason: While active Labor with wounds requires medical attention and may pose risks to both mother and baby, it does not directly correlate with an increased risk of myelomeningocele. Myelomeningocele is a congenital condition related to neural tube development early in pregnancy. The presence of wounds in active Labor may indicate complications such as trauma or infection, but these are not associated with neural tube defects.

Choice C reason: Premature rupture of membranes (PROM) is a condition where the amniotic sac ruptures before Labor begins, potentially leading to preterm birth and infections. While PROM is a concern and requires appropriate medical intervention, it is not directly linked to the development of myelomeningocele. The causes of PROM and neural tube defects like myelomeningocele are different, with PROM often related to issues with the amniotic sac or maternal infections.

Choice D reason: Precipitous Labor, which is an unusually rapid Labor and delivery, can pose risks such as trauma to the birth canal and complications for the newborn, but it is not associated with an increased risk of myelomeningocele. The speed of Labor and delivery is not a contributing factor to neural tube defects. Instead, precipitous Labor is more concerning for potential delivery complications and the need for rapid medical response.

A. Allow medical staff to make the plan of care decisions. B. Assessing the family's home environment. C. Arranging the necessary care equipment and supplies. D. Referring to financial support.

Correct Answer is A

Explanation

Choice A reason: Allowing medical staff to make the plan of care decisions without involving the patient and their family indicates a lack of patient-cantered care, which is a critical component in effective discharge planning. The patient and family members should be actively involved in the decision-making process to ensure that the plan of care aligns with their needs, preferences, and unique circumstances. Education on the importance of collaboration and shared decision-making in care planning is essential.

Choice B reason: Assessing the family's home environment is a necessary step in discharge planning. This intervention ensures that the patient will have a safe and supportive environment to return to, which can significantly impact their recovery and well-being. It includes evaluating factors such as accessibility, availability of caregivers, and any potential hazards that might affect the patient's health.

Choice C reason: Arranging the necessary care equipment and supplies is an important part of discharge planning to ensure that the patient has all the resources needed to continue their care at home. This includes medical equipment, medications, and other supplies that support the patient's health and recovery. Proper planning and arrangement of these resources prevent gaps in care and promote a smooth transition from hospital to home.

Choice D reason: Referring to financial support is a critical intervention, especially for patients with complex medical histories who may face significant healthcare costs. Financial support can help alleviate the burden of medical expenses and ensure that the patient has access to necessary services and treatments. The nursing student needs to understand the importance of connecting patients with financial resources and support programs.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is preparing to administer botulinum toxin to a child with spastic cerebral palsy. How will the nurse administer this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for patients on the Labor and delivery unit. Which patient will the nurse consider at higher risk for having a newborn with a myelomeningocele?

Correct Answer is A

Explanation

The nursing student is creating a plan of care for a patient with a complex medical history. Which discharge intervention will require further education by the nursing instructor?

Correct Answer is A

Explanation

The nurse is caring for a G4P1, 31 weeks and 2 days gestation, 41-year-old patient, with premature prolonged rupture of membranes (PPROM) 7 hours after delivery. Which interventions will the nurse include in the plan of care? Select all that apply.

The nurse is caring for a child diagnosed with Tetralogy of Fallot who has positioned themselves in a squatting position. The nurse understands this position:

A nurse is reviewing the assessment findings of a paediatric patient. Which finding will the nurse prioritize?

The nurse is preparing to administer botulinum toxin to a child with spastic cerebral palsy. How will the nurse administer this medication?

The nurse is caring for a 14-year-old patient following myelography. What is the priority nursing action?

A nurse is caring for a full-term newborn diagnosed with persistent/patent ductus arteriosus (PDA). The newborn's caregiver asks the nurse, "What causes a PDA?" How will the nurse answer this question?

The nurse is caring for a patient three days postpartum who is exclusively breastfeeding. Upon assessment, the patient has cracked nipples, engorged breasts, and a painful latch. What will the nurse include in the patient's plan of care? Select all that apply.

The nurse is assessing a 5-month-old patient on their readiness for solid foods. Which observation will indicate the family should postpone solid foods?