PEDI NEUROLOGICAL/SENSORY DISORDERS

A nurse is caring for a child who has abscent seizures. Which of the following findings should the nurse expect?

(Select all that apply)

• Loss of consciousness

  for 5 seconds

• Appearance of daydreaming

• Dropping held pbjects

• Falling to the floor

• Having a piercing cry

Answer explanation

LOC for 5-10 seconds

falling to the floor and piercing cry are manifestations of tonic-clonic sezures

A nurse is caring for a child who just experienced a generalized seizure. Which of the following is the priority action for the nurse to take?

• Position the child in a side lying position

• Try to determine the seizure trigger

• Reorient the child to the environment

• Note th time of the post ictal period

A nurse is reinforcing teaching to the guardians of a child who is to have an electroencephalogram (EEG). Which of the following statements by the guardian indicates teaching was effective ?

• "My child should remain quiet and still during the procedure."

• " I cannot wash my child's hair prior to the procedure."

• "I should not give my child anything to eat prior to the procedure."

• "This procedure will be very painful for my child."

Answer explanation

Hair should be washed to remove dirt and oils that would not allow EEG probes to adhere

Foods are not withheld prior to EEG

This procedure is not painful

A nurse is preparing to reinforce treatment options with the guardian of a child who has worsening seizures. Which of the following treatment options should the nurse include in the discussion?

• Vagal nerve stimulator

• Additional antiepileptic medications

• Corpus callosotomy

• Focal resection

• Radiation Therapy

Answer explanation

A vagal nerve stimulator is an option for seizure control

Additional AED's can be added to current med regime

A corpus callosotomy can be performed to control seizures

A focal resection can be control seizures

Radiation therapy is used to treat cancer

A nurse is reinforcing teaching with a group of caregivers about the risk factors for seizures. Which of the following factors should the nurse include?

(Select all that apply)

• febrile episodes

• Hypoglycemia

• Sodium imbalances

• Low blood lead levels

• Prescence of diphtheria

Answer explanation

febrile episodes can trigger seizure activity

Seizure activity is a late manifestation of Hypoglycemia

Seizure activity can be triggered by hypoglycemia and hyperglycemia

Diptheria is a respiratory disorder that causes dyspnea and not seizure acticity

A nurse is assisting with performing a peripheral vision test on a child. Which of the following actions should the nurse take?

• Place the child 10 feet away from the Snellen chart

• Show a set of cards to the child one at a time

• Cover the child's eye while performing the test on one eye

• Have the child focus on an object while performing the test

A nurse is reinforcing teaching a group of caregivers about manifestations of Down Syndrome. Which of the following findings should the nurse include?

(Select all that apply)

• A llarge head with bulging fontanels

• Large ears that are set back

• Protruding abdomen

• Broad, short feet and hands

• Hyopotonia

Answer explanation

A child with Down Syndrome presents with a small round head.

A patient with hydrocephalus will have a large head and bulging fontanels

Down syndrome children have small ears and short pinna

A nurse is collecting data from a child who has myopia. Which of the following findings should the nurse expect?

• Headaches

• Photophobia

• Difficulty reading

  the blackboard

• Difficulty focusing on objects that are near

• Poor school performnce

Answer explanation

headaches is a manifestation of myopia

Photophobia is a manifestation of strabismus

A nurse is collecting screening data from a toddler for possible hearing loss. Which of the following findings are indications of a hearing impairment ?

(Select all that apply)

• Uses monotone speech

• Speaks loudly

• Repeats questions

  over and over

• Appears shy & withdrawn

• Is overly attentive to the surroundings

Answer explanation

Repeating sentences is an expected task of a toddler

Inattentive to the environment is a manifestation of hearing impaired

A nurse is reinforcing teaching with the guardian of an infant with Down syndrome. Which of the following statements by the guardian indicates an understanding of the teaching ?

• "I should expect him to have frequent diarrhea."

• "I should place a cool mist humidifier in his room."

• " I should avoid the use of lotion on his skin."

• "I should expect him to grow faster in length than other infants."

Answer explanation

Teach te need for additional fluid and fiber in the diet as they are at risk for constipation

Down syndrome often manifests with respiratory infections , cool mist humidifier may help ease the risk

Down Syndrome skin is dry and cracks easy so lotion is a good treatment

Growth and development is slower that normal