When completing evaluation for wheelchair fit, you ensure that alignment for proper positioning begins at the:

When completing your initial evaluation of Russ, you complete ROM and MMT, a verbal pain rating scale, as well as sensation and perception tests. This portion of the evaluation is consistent with a:

CASE STUDY 2: Nyah is a 5 year old girl with a diagnosis of cerebral palsy (CP) characterized by spastic left sided UE and LE hemiplegia. She lives at home with her parents and two older brothers who adore her and are quick to do things for her. Nyah received Botox injections 3 weeks ago with a goal of improving gross motor control. Decreased muscle tone has been noted overall. She has a gait trainer that is used only with adult assistance to avoid injury. Parents are asking that wheelchair fit consultation be a primary consideration of your evaluation. Although her parents’ initial focus was on her mobility skills, they have noticed she lacks control of her hands and arms. For instance, she has difficulty placing toys (e.g., completing shape sorter), drawing with a crayon, or participating in self-care tasks. Nyah can finger-feed herself larger pieces of food. She is observed to frequently choke, spit, or sputter when she drinks water or juice. Nyah is toilet trained but needs help with transfers on and off of the toilet. She tends to lean to her left side and has difficulty getting up and down from the toilet. Nyah’s parents primarily dress her. She assists by extending her unaffected arm and leg to thread them. Safety is an issue at bath time, as she has outgrown infant seats and lacks independent stability for sitting. Nyah’s favorite activities are playing dolls with friends, going on wagon rides with her family, and reading books. ANSWER THE FOLLOWING QUESTIONS BASED UPON THIS CASE:

A compensatory mechanism to remove ketones from the body and get rid of excess carbon dioxide (CO2) in the body is called?    

The nurse is assessing a child diagnosed with Cushing Syndrome. Which signs and symptoms would the nurse expect to assess? Select all that apply.    

Karen is an 16 year old with Cystic Fibrosis (CF).  She was diagnosed at age 4 after a long series of respiratory infections and failure to thrive.  She is currently in the hospital for a “tune-up” after presenting to the outpatient clinic w/ a significant reduction in her baseline PFTs.  She’s also experienced a 3 lb. weight loss in the last month.  She was discharged from her last hospitalization 12 weeks ago.  She was hospitalized for 4 weeks at that time. She is quiet, moody, and refusing to eat and go to physical therapy. Please answer the following questions: 1. What is the primary purpose of admitting Karen (or any CF patient) for a “tune-up”? 2. Which nursing intervention is the highest priority of the admitting nurse for this patient? 3.. Karen takes pancreatic enzymes with each snack and meal.  What is the pathophysiology that necessitates the use of these enzymes in patients with CF?    

A child status/post (s/p) Open Reduction Internal Fixation of the left elbow due to a supracondylar fracture is complaining of (c/o) pain 5/10 on the numeric scale. Child’s weight: 37 pounds. Dose ordered: Morphine 1.68mg IVP Q 4 hours prn pain greater than or equal to 5. Dose on hand in the pyxis: 4mg/2mL          Safe dose: 0.5 to 0.2mg/kg every 4 hours prn How many mLs of Morphine will you administer? (Round to the nearest hundredth)  

The nurse is caring for a 11-year-old child recently diagnosed with Type 1 diabetes. When discussing the care and management of Type 1 diabetes mellitus with the child’s parents, which statements indicate understanding? Select all that apply.

Match the correct type of seizure with the clinical manifestations or activity observed by the patient during the seizure.  

A child comes into the ED with a head to toe and front to back rash on their body that is red.  The nurse taking the report asks the mom if they have changed laundry detergents, if the child has any food allergies, and if the child takes any medications.  The mom states, “No changes in detergent, no food allergies that we know of. My child has been on Bactrim sulfonamide for about 5 days now for a bacterial infection.”  What do you expect the nurse’s working diagnosis is for this rash? (HINT: Name the type of rash/reaction). (image from epilepsyu.com, 2024)