The nurse prepares baclofen for a child with cerebral palsy who just had her hamstrings surgically released. The child's parents ask what the medication is for. Select the nurse's best response.
It is a medication that will help decrease the pain from her surgery.
It is a medication that will prevent her from having seizures.
It is a medication that will help with bladder control.
It is a medication that will help control her spasms.
The Correct Answer is D
Choice A reason: Baclofen is not primarily a pain reliever. It is a muscle relaxant used in cerebral palsy to reduce spasticity. Post-surgical pain is managed with analgesics, not baclofen, which targets muscle tone rather than nociceptive pathways, making this response incorrect.
Choice B reason: Baclofen does not prevent seizures. It reduces muscle spasticity in cerebral palsy by acting on GABA receptors in the spinal cord. Anticonvulsants, like levetiracetam, are used for seizures, which are not a universal feature of cerebral palsy, making this inaccurate.
Choice C reason: Baclofen is not used for bladder control in cerebral palsy. While spasticity can affect bladder function, medications like oxybutynin target bladder issues. Baclofen focuses on skeletal muscle relaxation, not smooth muscle in the bladder, making this an incorrect response.
Choice D reason: Baclofen is a muscle relaxant that reduces spasticity in cerebral palsy by inhibiting spinal reflexes via GABA receptors. Post-hamstring surgery, it controls muscle spasms, improving mobility and comfort, making this the correct explanation for its use in this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Myelomeningocele is a neural tube defect where a sac containing cerebrospinal fluid, meninges, and nerve roots protrudes through a spinal defect. This causes neurological impairments, like paralysis, due to exposed neural tissue, matching the described condition and requiring urgent surgical intervention.
Choice B reason: Meningocele involves a sac with cerebrospinal fluid and meninges but no nerve roots, protruding through a spinal defect. It causes fewer neurological deficits than myelomeningocele, as neural tissue is not involved, making it incorrect for the described condition with nerve roots.
Choice C reason: Spina bifida occulta is a mild neural tube defect with no protruding sac, only a vertebral gap. It often causes no symptoms, unlike the described condition with a sac containing nerve roots, making this an incorrect diagnosis for the visible defect.
Choice D reason: Anencephaly is a severe neural tube defect with absent brain and skull parts, not a spinal sac with cerebrospinal fluid and nerve roots. It is incompatible with life and unrelated to the described spinal condition, making it an incorrect diagnosis.
Correct Answer is A
Explanation
Choice A reason: Partial thickness burns, affecting the epidermis and dermis, are commonly caused by hot liquids, like scalds, in children. These burns cause blisters and pain due to thermal damage penetrating deeper skin layers, consistent with the described injury, making this the likely cause.
Choice B reason: Electrical burns often cause deeper, full-thickness burns due to high-energy current penetrating tissues, causing necrosis beyond the dermis. Partial thickness burns are less typical, as electrical injuries tend to damage underlying muscles and nerves, making this an unlikely cause.
Choice C reason: Flame burns typically cause full-thickness burns, destroying the epidermis and dermis due to intense heat. Partial thickness burns are less common, as flames often result in deeper tissue damage, making this a less likely cause compared to hot liquid scalds.
Choice D reason: Mild sunburns cause superficial burns, affecting only the epidermis with redness and minimal pain. Partial thickness burns involve deeper dermal layers with blistering, which sunburns rarely cause unless severe, making this an unlikely cause for the described burn depth.
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