Question 1

When documenting a grand mal seizure,what would the nurse include? Select all that apply.

Accepted Answer

Documentation on a seizure should include LOC following episode,activity prior to and following seizure,change in color,respiration,muscle tone,and length of seizure.Reporting of medication regimen is not necessary.

Question 2

What intervention(s)would the nurse caring for a child with infectious meningitis include? Select all that apply.

Accepted Answer

All elements of nursing care listed in the options would be part of comprehensive care of a child with meningitis.

Question 3

The nurse cautions parents that hearing impairment can affect which aspect(s)of the child's development? Select all that apply.

Accepted Answer

All the options are areas in which a hearing impairment could interfere with normal development.

Question 4

A child is admitted to the hospital because she had a seizure.Her parents report that for the past few weeks she has had headaches,with vomiting,that are worse in the morning.The nurse would suspect:

Accepted Answer

The signs and symptoms of a brain tumor are related to its size and location.Most tumors create increased intracranial pressure (ICP)with the hallmark symptoms of headache,vomiting,drowsiness,and seizures.

Question 5

Why would the pediatric nurse suspect the probability of an ear infection in a 6-month-old child? Select all that apply.

Accepted Answer

Infants signal ear infections by being irritable,rolling their heads from side to side,spiking a temperature,and pulling at or rubbing their ears.

Question 6

In caring for a 3-year-old with a head injury,the nurse would report the probability of increasing intracranial pressure (ICP)based on the assessment of:

Accepted Answer

Increasing blood pressure,accompanied by decreasing pulse,and accompanied by unequal pupils are indicators of ICP.

Question 7

What would the nurse,who is preparing air travel instructions to prevent barotrauma in infants,include in teaching? Select all that apply.

Accepted Answer

Encouraging an infant to swallow reduces the pressure in the ears during descent.

Question 8

A child is brought to the emergency department after he fell and hit his head on the ground.The nursing assessment that suggests the child has a concussion is:

Accepted Answer

A concussion is a temporary disturbance of the brain that is immediately followed by a period of unconsciousness.It is accompanied often by a loss of memory of the events that occurred immediately before,during,or after the injury.

Question 9

The sign that suggests possible damage to the cortex of the brain is ____________ posturing.

Accepted Answer

The answer of The sign that suggests possible damage to...

Question 10

The nurse urges the mother of a 6-month-old to get her child inoculated with Haemophilus influenzae type B to protect against:

Accepted Answer

H.influenza type B and conjugated pneumococcal vaccines have decreased the incidence of bacterial meningitis.

Question 11

The nurse records the finding of ______________ _____________ when the child with meningitis cries out in pain when his head is flexed toward his chest.

Accepted Answer

The answer of The nurse records the finding of ______________...

Quiz 23: The Child with a Sensory or Neurological Condition

When documenting a grand mal seizure,what would the nurse include? Select all that apply.

What intervention(s) would the nurse caring for a child with infectious meningitis include? Select all that apply.

The nurse cautions parents that hearing impairment can affect which aspect(s) of the child's development? Select all that apply.