NUR 232 Exam 3 Questions with Correct
Answers
A child is hospitalized diagnosed with bacterial meningitis. What can the nurse
anticipate will be included in the plan of care and treatment? (Select all that apply.)
A. Antibiotic therapy
B. Ice packs to the back of the neck and feet to reduce body temperature
C. Antiviral medications
D. Administering tepid baths as needed
E. Acetaminophen
A
D
E
Rationale:
,Bacterial meningitis involves a multifaceted plan of care and treatment. Ice packs will sharply
reduce temperature and should not be used. Measures that promote shivering should be
avoided as they will increase the metabolic rate. Acetaminophen will be prescribed in effort
to reduce the body temperature. Tepid baths can be instituted as needed to reduce body
temperature. Antibiotic therapy will be initiated to eradicate the pathogens. Antiviral
medications are not indicated as this is not a viral infection.
The nurse knows that the heads of infants and toddlers are large in proportion to their
bodies, placing them at risk for what problem?
A. Positional plagiocephaly
B. Intracranial hemorrhaging
C. Head trauma
D. Congenital hydrocephalus
C.
Rationale: A larger head size in relation to the rest of their body size gives young children a
,higher center of gravity, which causes them to hit their head more readily, thus placing them
at risk for head trauma. Fragile capillaries in the periventricular area of the brain put preterm
infants at risk for intracranial hemorrhage. Congenital hydrocephalus may be caused by
abnormal intrauterine development or infection. Positional plagiocephaly is caused by an
infant's head remaining in the same position for too long.
A nurse is providing care to a child with status epilepticus. Which medications would
the nurse identify as appropriate to give in this situation? (Select all that apply.)
A. Carbamazepine
B. Gabapentin
C. Fosphenytoin
D. Lorazepam
E. Diazepam
C.
D.
E.
, Rationale: Commonly used medications for treating status epilepticus include lorazepam,
diazepam, and fosphenytoin. Gabapentin and carbamazepine are anticonvulsants used to treat
and prevent seizures in general.
A 6-year-old has had a viral infection for the past 5 days and is having severe vomiting,
confusion, and irritability, although he is now afebrile. During the assessment, the nurse
should ask the parent which question?
1. "How high did his temperature rise when he was ill?"
2. "Did you use any medications like aspirin for the fever?"
3. "What type of fluids did your child take when he had a fever?"
4. "Did you give your child any acetaminophen, such as Tylenol?"
Rationale: Severe and continual vomiting, changes in mental status, lethargy, and irritability
are some of the signs and symptoms of Reye syndrome, which can occur as a result of
ingesting aspirin or aspirin-containing products during a viral infection. Tylenol
(acetaminophen) is allowed for viral infections in the school-age child. The type of fluids
consumed during the illness has nothing to do with Reye syndrome. The temperature rise
would be important for a much younger child because of the chance of febrile seizures, but
not in this age child.
A group of nursing students are reviewing cerebral vascular disorders and risk factors
in children. The students demonstrate understanding of the material when they identify
Answers
A child is hospitalized diagnosed with bacterial meningitis. What can the nurse
anticipate will be included in the plan of care and treatment? (Select all that apply.)
A. Antibiotic therapy
B. Ice packs to the back of the neck and feet to reduce body temperature
C. Antiviral medications
D. Administering tepid baths as needed
E. Acetaminophen
A
D
E
Rationale:
,Bacterial meningitis involves a multifaceted plan of care and treatment. Ice packs will sharply
reduce temperature and should not be used. Measures that promote shivering should be
avoided as they will increase the metabolic rate. Acetaminophen will be prescribed in effort
to reduce the body temperature. Tepid baths can be instituted as needed to reduce body
temperature. Antibiotic therapy will be initiated to eradicate the pathogens. Antiviral
medications are not indicated as this is not a viral infection.
The nurse knows that the heads of infants and toddlers are large in proportion to their
bodies, placing them at risk for what problem?
A. Positional plagiocephaly
B. Intracranial hemorrhaging
C. Head trauma
D. Congenital hydrocephalus
C.
Rationale: A larger head size in relation to the rest of their body size gives young children a
,higher center of gravity, which causes them to hit their head more readily, thus placing them
at risk for head trauma. Fragile capillaries in the periventricular area of the brain put preterm
infants at risk for intracranial hemorrhage. Congenital hydrocephalus may be caused by
abnormal intrauterine development or infection. Positional plagiocephaly is caused by an
infant's head remaining in the same position for too long.
A nurse is providing care to a child with status epilepticus. Which medications would
the nurse identify as appropriate to give in this situation? (Select all that apply.)
A. Carbamazepine
B. Gabapentin
C. Fosphenytoin
D. Lorazepam
E. Diazepam
C.
D.
E.
, Rationale: Commonly used medications for treating status epilepticus include lorazepam,
diazepam, and fosphenytoin. Gabapentin and carbamazepine are anticonvulsants used to treat
and prevent seizures in general.
A 6-year-old has had a viral infection for the past 5 days and is having severe vomiting,
confusion, and irritability, although he is now afebrile. During the assessment, the nurse
should ask the parent which question?
1. "How high did his temperature rise when he was ill?"
2. "Did you use any medications like aspirin for the fever?"
3. "What type of fluids did your child take when he had a fever?"
4. "Did you give your child any acetaminophen, such as Tylenol?"
Rationale: Severe and continual vomiting, changes in mental status, lethargy, and irritability
are some of the signs and symptoms of Reye syndrome, which can occur as a result of
ingesting aspirin or aspirin-containing products during a viral infection. Tylenol
(acetaminophen) is allowed for viral infections in the school-age child. The type of fluids
consumed during the illness has nothing to do with Reye syndrome. The temperature rise
would be important for a much younger child because of the chance of febrile seizures, but
not in this age child.
A group of nursing students are reviewing cerebral vascular disorders and risk factors
in children. The students demonstrate understanding of the material when they identify
