NU 170 EXAM 1 NEURO

Which signs best indicate ICP in an infant? Select all that apply.

1. Sunken anterior fontanel.

2. Complaints of blurred vision.

3. High-pitched cry.

4. Increased appetite.

5. Sleeping more than usual.

• 1. Sunken anterior fontanel.

• 2. Complaints of blurred vision.

• 3. High-pitched cry.

• 4. Increased appetite.

• 5. Sleeping more than usual.

The nurse is aware that cloudy CSF most likely indicates:

• viral meningitis

• bacterial meningitis

• no infection because CSF is usually cloudy

• sepsis

A child is being admitted with the diagnosis of meningitis. Select the procedure the nurse should do first.

• 1. Administration of IV antibiotics.

• 2. Administration of maintenance IV fluids.

• 3. Placement of a Foley catheter.

• 4. Send the spinal fluid and blood samples to the laboratory for cultures.

The nurse knows further education is needed about Reye syndrome when a mother states:

• 1. “I will have my children immunized against varicella and influenza.”

• 2. “I will make sure not to give my child any products containing aspirin.”

• 3. “I will give aspirin to my child to treat a headache.”

• 4. “Children with Reye syndrome are admitted to the hospital.”

A child diagnosed with meningitis is having a generalized tonic-clonic seizure. Which should the nurse do first?

• 1. Administer blow-by oxygen and call for additional help.

• 2. Reassure the parents that seizures are common in children with meningitis.

• 3. Call a code and ask the parents to leave the room.

• 4. Assess the child’s temperature and blood pressure.

A preschooler has been having periods during which he suddenly falls and appears to be weak for a short time after the event. The preschool teacher asks what she should do. Select the nurse’s best response.

• 1. “Have the parents follow up with his health-care provider because this is likely an atonic seizure.”

  ”

• 2. “Find out if there have been any new stressors in his life because it could be attention-seeking behavior.

• 3. “Have the parents follow up with his health-care provider because this is likely an absence seizure.”

• preschool years are a time of rapid growth, and many children appear clumsy. It would be best to watch him and see if it continues.”

Which activity should an adolescent just diagnosed with epilepsy avoid?

• 1. Swimming, even with a friend.

• 2. Being in a car at night.

  right away.

• 3. Participating in any strenuous activities.

• 4. Returning to school

The nurse is caring for a child with a skull fracture who is unconscious and has severely ICP. The nurse notes the child’s temperature to be 104°F (40°C). Which should the nurse do first?

• 1. Place a cooling blanket on the child.

• 2. Administer acetaminophen (Tylenol) via nasogastric tube.

• 3. Administer acetaminophen (Tylenol) rectally.

• 4. Place ice packs in the child’s axillary areas.

A 2-month-old infant is brought to the emergency department after experiencing a seizure. The infant appears lethargic with very irregular respirations and periods of apnea. The parents report the baby is no longer interested in feeding and, before the seizure, rolled off the couch. What additional testing should the nurse immediately prepare for?

• 1. CT scan of the head and dilation of the eyes.

• 2. CT scan of the head and EEG.

• 3. X-rays of the head.

• 4. X-rays of all long bones.

Tags

NGSS.HS-LS1-3

Which child is at increased risk for CP?

• 1. An infant born at 34 weeks with an Apgar score of 6 at 5 minutes.

• 2. A 17-day-old infant with group B Streptococcus meningitis.

• 3. A 24-month-old child who has experienced a febrile seizure.

• 4. A 5-year-old with a closed-head injury after falling off a bike