A+ LATEST VERSION
TheVnurseVisVcollectingVdataVfromVaVchildVwhoVmayVhaveVaVseizureVdisorder.VWhichVnursi
ngVobservationsVsuggestVanVabsenceVseizure?V-
VMinimalVorVnoValterationVinVmuscleVtone,VwithVaVbrief VlossVofVresponsivenessVorVattention
.
Reference:
ChapterV16:VNursingVCareVofVtheVChildVWithVanVAlterationVinVIntracranialVRegulation/Neu
rologicVDisorderV-VPageV488
AVnurseVonVtheVneurologyVunitVisVmonitoringVanV8-year-
oldVchildVadmittedVwithVseizures.VTheVchildVexperiencesVaVprolongedVtonic-
clonicVseizure.
CompleteVtheVfollowingVsentence(s)VbyVchoosingVfromVtheVlistsVofVoptions.
TheVnurseVshouldVfirstV followedVby
.V-VTheVnurseVshouldVfirst:VensureVproperVoxygenation.
FollowedVby:VadministerVintravenousV(IV)VorVintramuscularV(IM)Vbenzodiazepine.
Reference:
ChapterV16:VNursingVCareVofVtheVChildVWithVanVAlterationVinVIntracranialVRegulation/Neu
rologicVDisorderV-VPageV488-495
AVchildVwithVaVseizureVdisorderVisVbeingVadmittedVtoVtheVinpatientVunit.VWhenVpreparingVth
eVroomVforVtheVchild,VwhatVshouldVbeVincluded?VSelectVallVthatVapply.
VA.)VoxygenVgaugeVandVtubing
VB.)VsuctionVatVbedside
VC.)VtongueVblade
VD.)VpaddingVforVsideVrails
VE.)VsmellingVsaltsV-VA.)VoxygenVgaugeVandVtubing
B.)VsuctionVatVbedside
D.)VpaddingVforVsideVrails
Reference:
ChapterV16:VNursingVCareVofVtheVChildVWithVanVAlterationVinVIntracranialVRegulation/Neu
rologicVDisorderV-VPageV484
AVnurseVisVassessingVaV3-year-
oldVchildVforVpossibleVbacterialVmeningitis.VWhichVsignVwouldVindicateVirritationVofVtheVme
ninges?V-VPositiveVKernigVsign.
Reference:
ChapterV16:VNursingVCareVofVtheVChildVWithVanVAlterationVinVIntracranialVRegulation/Neu
rologicVDisorderV-VPageV504
AV1-year-
oldVinfantVhasVjustVundergoneVsurgeryVtoVcorrectVcraniosynostosis.VWhichVcommentVisVt
,heVbestVpsychosocialVinterventionVforVtheVparents?V-
V"TheVsurgeryVwasVsuccessful.VDoVyouVhaveVanyVquestions?"
,Explanation:
OftenVwhatVparentsVneedVmostVisVsomeoneVtoVlistenVtoVtheirVconcerns.VAlthoughVthisVisVa
VgoodVtimeVforVeducation,VtheVparentsVareVmoreVconcernedVaboutVtheVsuccessVofVtheVsu
rgeryVthanVtheirVinfant'sVappearance.VWatchingVtheVhemoglobin,VhematocritVandVswelli
ngVareVimportantVnursingVfunctionsVbutVtheyVdoVnotVaddressVtheVparents'VpsychosocialV
needs.VTheVparentsVdoVnotVneedVtoVbeVtaughtVstatisticsVaboutVtheirVinfant'sVcondition.VT
heyVmoreVthanVlikelyVknowVthisVfromVhealthVcareVproviderVvisits,VtheVInternet,VandVparent
VsupportVgroups.VFollowingVsurgery, VthisVknowledgeVisVnotVwhatVparentsVareVconcernedV
about.VParentsVwantVtoVknowVtheirVinfantVisVsafeVandV well.
Reference:
ChapterV16:VNursingVCareVofVtheVChildVWithVanVAlterationVinVIntracranialVRegulation/Neu
rologicVDisorderV-VPageV502
AV9-year-
oldVclientVwhoVsufferedVaVheadVinjuryVhasVstrabismus.VTheVnurseVassessesVtheVclientVfo
rVintracranialVpressureV(ICP).VWhichVadditionalVinterventionVisVmostVimportantVforVtheVn
urseVtoVperform?V-VAssessVtheVlevelVofVconsciousnessV(LOC).
Explanation:
DecreasedVLOCVisVfrequentlyVtheVfirstVsignVofVaVmajorVneurologicVproblemVafterVheadVtr
auma.VTheVnurseVwouldVassessVtheVclient'sVLOCVbeforeVnotifyingVtheVhealthVcareVprovi
der.VTheVchildVmayVneedVtoVbeVplacedVonVfallVprecaution,VdependingVonVtheVresultsVofVt
heVassessment.VTheVchild'sVeyesVwillVcorrectVthemselvesVwhenVtheVICPVisVreduced;Vthe
refore,VanVeyeVpatchVisVnotVnecessary.
Reference:
ChapterV16:VNursingVCareVofVtheVChildVWithVanVAlterationVinVIntracranialVRegulation/Neu
rologicVDisorderV-VPageV509
ToVdetectVcomplicationsVasVearlyVasVpossibleVinVaVchildVwithVmeningitisVwho'sVreceiving
VIVVfluids,VmonitoringVforVwhichVconditionVshouldVbeVtheVnurse'sVpriority?V-
VCerebralVedema
Explanation:
TheVchildVwithVmeningitisVisValreadyVatVincreasedVriskVforVcerebralVedemaVandVincreased
VintracranialVpressureVdueVtoVinflammationVofVtheVmeningealVmembranes;Vtherefore,VtheV
nurseVshouldVcarefullyVmonitorVfluidVintakeVandVoutputVtoVavoidVfluidVvolumeVoverload.VR
enalVfailureVandVcardiogenicVshockVaren'tVcomplicationsVofVIVVtherapy.VTheVchildVwithVaV
healthyVheartVwouldn'tVbeVexpectedVtoVdevelopVleft-sidedVheartVfailure.
Reference:
ChapterV16:VNursingVCareVofVtheVChildVWithVanVAlterationVinVIntracranialVRegulation/Neu
rologicVDisorderV-VPageV486
TheVnurseVisVcaringVforVanVinfantVwhoVisVatVriskVforVincreasedVintracranialVpressure.VWhatV
statementVbyVtheVparentVwouldValertVtheVnurseVtoVfurtherVassessVtheVchild's
, neurologicalVstatus?V-V"SheVhasVbeenVirritableVforVtheVlastVhour. ..... seemsVlikeVsheVis
justVupsetVforVsomeVreason."
Reference:
ChapterV16:VNursingVCareVofVtheVChildVWithVanVAlterationVinVIntracranialVRegulation/Neu
rologicVDisorderV-VPageV479
TheVnurseVisVcaringVforVaVchildVwithVaVsuspectedVheadVinjury.VTheVnurseVobservesVforVw
hatVresponseVtoVtheVchild'sVeyeVreflexVexaminationVthatVwouldVindicateVpotentialVincrea
sedVintracranialVpressureV(ICP)?V-
VWhileVassessingVtheVchild'sVpupils,VthereVisVnoVchangeVinVdiameterVinVresponseVtoVaVlig
ht.
Reference:
ChapterV16:VNursingVCareVofVtheVChildVWithVanVAlterationVinVIntracranialVRegulation/Neu
rologicVDisorderV-VPageV509
TheVnurseVknowsVthatVtheVheadsVofVinfantsVandVtoddlersVareVlargeVinVproportionVtoVtheirV
bodies,VplacingVthemVatVriskVforVwhatVproblem?V-VheadVtrauma
Explanation:
AVlargerVheadVsizeVinVrelationVtoVtheVrestVofVtheirVbodyVsizeVgivesVyoungVchildrenVaVhigh
erVcenterVofVgravity,VwhichVcausesVthemVtoVhitVtheirVheadVmoreVreadily,VthusVplacingVthe
mVatVriskVforVheadVtrauma.VFragileVcapillariesVinVtheVperiventricularVareaVofVtheVbrainVput
VpretermVinfantsVatVriskVforVintracranialVhemorrhage.VCongenitalVhydrocephalusVmayVb
eVcausedVbyVabnormalVintrauterineVdevelopmentVorVinfection.
PositionalVplagiocephalyVisVcausedVbyVanVinfant'sVheadVremainingVinVtheVsameVpositionV
forVtooVlong.
Reference:
ChapterV16:VNursingVCareVofVtheVChildVWithVanVAlterationVinVIntracranialVRegulation/Neu
rologicVDisorderV-VPageV509
AVchildVisVhomeVwithVtheVcaregiversVfollowingVaVtreatmentVforVaVheadVinjury.VTheVcaregi
verVshouldVcontactVtheVcareVproviderVifVtheVchildVmakesVwhichVstatement?V-
V"YouVlookVfunny.VWell,VbothVofVyouVdo.VIVseeVtwoVofVyou."
Reference:
ChapterV16:VNursingVCareVofVtheVChildVWithVanVAlterationVinVIntracranialVRegulation/Neu
rologicVDisorderV-VPageV511
TheVnurseVandVanVadolescentVareVreviewingVtheVadolescent'sVrecordVofVherVheadachesV
andVactivitiesVsurroundingVthem.VWhatVactivityVwouldVtheVnurseVidentifyVasVaVpossibleVtri
gger?V-VDrinkingVthreeVcansVofVdietVcola.
Reference:
ChapterV16:VNursingVCareVofVtheVChildVWithVanVAlterationVinVIntracranialVRegulation/Neu
rologicVDisorderV-VPageV518
TheVparentsVofVaV17-year-
oldVadolescentVdiagnosedVwithVbacterialVmeningitisVtellVtheVnurse,V"WeVjustVdoVnotVunder
standVhowVthisVcouldVhaveVhappened.VOurVadolescent