Intracranial|Latest questions
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1. The nurse recognizes that epidural hematoma's have which characteristic? -
CORRECT ANSWERS-Rapid brain decompression.
2. To prepare Casey's parents for her CT scan, which explanation by the nurse is
accurate? - CORRECT ANSWERS-"A nurse from the ED will remain with Casey to
monitor her constantly."
3. The nurse recognizes that signs of increased intracranial pressure (ICP) in Casey
differ from signs in older children. Which symptoms is most characteristic of ICP in
infants? - CORRECT ANSWERS-Separated cranial sutures.
4. While conducting Casey's neurological assessment, the nurse notes possible
damage to cranial nerve III as evidence by which of the following symptoms? -
CORRECT ANSWERS-Ptosis and dilated pupils.
5. The nurse wishes to document her neurological assessment findings. Which data
should the nurse included in documenting Casey's ocular findings? - CORRECT
ANSWERS-Lid lag for both eyes and dilated pupils (7 mm).
6. While providing care for a child with an epidural hematoma, which nursing
interventions are most essential? SATA - CORRECT ANSWERS-Maintain the airway
and monitor O2 saturation.
Implement seizure precautions.
Frequent neurological assessment.
Monitor fluid status and osmolality.
7. Which seizure precautions should the nurse plan to implement? - CORRECT
ANSWERS-Padding the side rails.
8. Laboratory studies are prescribed for Casey. Which prescription should the nurse
question? - CORRECT ANSWERS-24-hour urine collection.
9. The mother asks the nurse why her child is having x-rays. Which response is best for
the nurse to provide? - CORRECT ANSWERS-"It is important to assess for other
injuries that may have been sustained in the car accident."