WCF- Neurological Condtions

A hospitalized child is having a seizure. Which action by the nurse takes priority?

• Apply oxygen and oximeter

• Give antiseizure medications

• Pad the side rails of the bed

• Turn the child on their side

A nurse admits a child experiencing drowsiness and vomiting who has had a seizure at home. The parents state the child was healthy until 2 weeks ago when they had a viral illness. Which diagnostic testing does the nurse facilitate as a priority?

• Complete blood count

• Liver biopsy

• Lumbar puncture

• Serum glucose

A nurse is caring for a child who wakes up when gently shaken. The child appears confused and unaware of his surroundings. Which term is the most appropriate when documenting this child’s status?

• Obtundation

• Lethargy

• Stupor

• Coma

A child has been admitted with bacterial meningitis. Which action by the nurse takes priority?

• Decreasing stimulation

• Keep the patient lying flat

• Treat pain aggressively

• Obtain blood cultures and lumbar puncture

During assessment of a 8-year-old child with meningitis, the nurse places the child supine and attempts to put the child’s chin on their chest. The child cries out in pain and flexes their knees. How does the nurse document this assessment finding in the medical record?

• Positive Moro reflex

• Positive Brudzinski sign

• Positive Kernig sign

• Postive McBurney's sign

A 5 year old child with history of hydrocephalus and VP shunt placedment 3 months ago presents with vomiting, irritability, and decreased LOC. These symptoms are most indicative of:

• Impending seizure

• A new head injury

• Shunt infection

• Viral illness

A child is being discharged after surgical correction of spina bifida. The nurse has provided discharge instruction to the parents. The nurse intervenes when one of the parents state:

• We will use the support group to connect with other parents who have children with this condition.

• We will obtain rectal temperatures to monitor for fevers.

• We will perform straight catheterization to drain urine from the bladder.

• We will monitor for constipation.

A 16 year old male at the mall begins having a tonic clonic seizure in the food court. A patron who happens to be nurse witnesses this occurence and steps in to help. She immediately corrects the following action performed by one of the seizing person's friends:

• Rolls up a jacket to place under his head

• Positions him on his right side

• Begins clearing the area and asking people to step back

• Places a rag between his teeth to prevent him from biting his tongue