When developing a teaching plan for the mother of a child diagnosed with spastic cerebral palsy, which of the following descriptions would the nurse include
A. Wide-based gait and poor muscle coordination.
B. Tremors and lack of active movement.
C. Increased muscle tone and stretch reflexes.
D. Slow, wormlike writhing movements.
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One-year-old Susan, the second child to have sickle cell disease in a family of five children, is admitted to the hospital with sickle cell crisis. When preparing the plan of care for her, which of the following treatments would the nurse most likely expect to include in the plan
A. Intravenous fluid therapy.
B. Fast-acting anticoagulant therapy.
C. Parenteral iron therapy.
D. Exchange transfusion.
A pregnant client is admitted to the hospital at 34 weeks gestation and is receiving intravenous tocolytic therapy for preterm labor. The physician orders betamethasone (Celestone) intramuscularly for her. After administering the drug, the nurse would assess the client for which of the following as a possible side effect
A. Decreased skin turgor.
B. Infection.
C. Urinary frequency.
D. Hypoglycemi
Which of the following interventions will assist the client in taking phenytoin as prescribed
A. Calling him daily for the first week after hospital discharge.
B. Having a family member monitor him to ensure compliance.
C. Providing him with written and verbal instructions about the medicine.
D. Emphasizing that embarrassing seizures may occur again if he does not take the medicin
Immediately after a spontaneous rupture of the membranes, the nurse observes a loop of umbilical cord protruding from the vagin
A. a. What should the nurse do firstA. Administer oxygen.B. Notify the physician.C. Document the deceleration.D. Elevate the hips on two pillows.