HESI Case Study( peds)
Meet the Clients: Casey and John Martin
Six-month-antique Casey Martin and her 4-year-old brother, John Martin preserve head
accidents whilst the auto driven through their mother is struck head on at an intersection.
Although Casey is in an little one seat, her head is significantly shaken. John unbuckles his car
seat and his head moves the sprint board with pressure.
The Martins are transported to the emergency department (ED) where Mrs. Martin is treated
and released. The children are triaged as desiring immediate intervention.
The nurse recognizes that epidural hematomas have which function?
Rapid mind decompression
To prepare Casey's mother and father for her CT test, which rationalization with the aid of the
nurse is accurate?
A nurse from the ED will remain with Casey to monitor her continuously.
Which symptom is maximum feature of ICP in babies?
Separated cranial sutures
While undertaking Casey's neurological assessment, the nurse notes viable damage to cranial
nerve III as evidenced through which of the subsequent signs and symptoms?
Ptosis and dilated scholars
Which information ought to the nurse consist of in documenting Casey's ocular findings?
Lid lag for both eyes and dilated pupils
While supplying care for a child with an epidural hematoma, which nursing interventions are
maximum important? (Select all that apply)
-Frequent neuro assessment
-Maintain the airway and screen O2 sat
-Implement seizure precautions
-Monitor fluid popularity and osmolality
Meet the Clients: Casey and John Martin
Six-month-antique Casey Martin and her 4-year-old brother, John Martin preserve head
accidents whilst the auto driven through their mother is struck head on at an intersection.
Although Casey is in an little one seat, her head is significantly shaken. John unbuckles his car
seat and his head moves the sprint board with pressure.
The Martins are transported to the emergency department (ED) where Mrs. Martin is treated
and released. The children are triaged as desiring immediate intervention.
The nurse recognizes that epidural hematomas have which function?
Rapid mind decompression
To prepare Casey's mother and father for her CT test, which rationalization with the aid of the
nurse is accurate?
A nurse from the ED will remain with Casey to monitor her continuously.
Which symptom is maximum feature of ICP in babies?
Separated cranial sutures
While undertaking Casey's neurological assessment, the nurse notes viable damage to cranial
nerve III as evidenced through which of the subsequent signs and symptoms?
Ptosis and dilated scholars
Which information ought to the nurse consist of in documenting Casey's ocular findings?
Lid lag for both eyes and dilated pupils
While supplying care for a child with an epidural hematoma, which nursing interventions are
maximum important? (Select all that apply)
-Frequent neuro assessment
-Maintain the airway and screen O2 sat
-Implement seizure precautions
-Monitor fluid popularity and osmolality
