Exam 4 2023
When providing care to a newborn infant who was born at 29 weeks' gestation, the nurse integrates
knowledge of potential complications, being alert for signs and symptoms of which of the following? -
answerIntracranial hemorrhage
The nurse knows that children have larger heads in relation to the body and a higher center of gravity.
When developing a teaching plan for parents, the nurse includes information about an increased risk for
which of the following problems? - answerHead trauma
The nurse is caring for a child hospitalized with Reye syndrome who is in the acute stage of the illness.
The nurse would assess the child most carefully for which of the following? - answerIndications of
increased intracranial pressure
The physician has ordered rectal diazepam (Valium) for a 2 year old boy with status epilepticus. Which
of the following instructions is essential for the nurse to teach the parents? - answerMonitor their child's
level of sedation.
As a result of seizure activity, a computed tomography (CT) scan was performed and showed than an 18
month old has intrancranial anteriovenous malformation. When developing the child's plan of care, the
nurse would expect to implement actions to prevent which of the following? - answerHemorrhagic
stroke
A 16 year old boy complains to the school nurse of headaches and a stiff neck. Which of the following
signs and symptoms would alert the nurse that the child may have bacterial meningitis? -
answerSunlight is "too bright"
A 4 year old boy has a febrile seizure during a well child visit. W hich of the following would be a
priority? - answerProtecting the child from harm during the seizure.