HESI Case Study( peds)
Meet the Clients: Casey and John Martin
Six-month-vintage Casey Martin and her 4-yr-antique brother, John Martin maintain head
accidents when the car pushed through their mom is struck head on at an intersection. Although
Casey is in an little one seat, her head is severely shaken. John unbuckles his car seat and his
head strikes the dash board with pressure.
The Martins are transported to the emergency department (ED) where Mrs. Martin is handled
and released. The kids are triaged as needing instantaneous intervention.
The nurse recognizes that epidural hematomas have which feature?
Rapid mind decompression
To put together Casey's mother and father for her CT scan, which rationalization with the aid of
the nurse is accurate?
A nurse from the ED will stay with Casey to screen her constantly.
Which symptom is most feature of ICP in infants?
Separated cranial sutures
While conducting Casey's neurological evaluation, the nurse notes possible harm to cranial
nerve III as evidenced with the aid of which of the subsequent symptoms?
Ptosis and dilated pupils
Which statistics must the nurse encompass in documenting Casey's ocular findings?
Lid lag for each eyes and dilated students
While presenting care for a infant with an epidural hematoma, which nursing interventions are
most crucial? (Select all that follow)
-Frequent neuro assessment
-Maintain the airway and screen O2 sat
-Implement seizure precautions
Meet the Clients: Casey and John Martin
Six-month-vintage Casey Martin and her 4-yr-antique brother, John Martin maintain head
accidents when the car pushed through their mom is struck head on at an intersection. Although
Casey is in an little one seat, her head is severely shaken. John unbuckles his car seat and his
head strikes the dash board with pressure.
The Martins are transported to the emergency department (ED) where Mrs. Martin is handled
and released. The kids are triaged as needing instantaneous intervention.
The nurse recognizes that epidural hematomas have which feature?
Rapid mind decompression
To put together Casey's mother and father for her CT scan, which rationalization with the aid of
the nurse is accurate?
A nurse from the ED will stay with Casey to screen her constantly.
Which symptom is most feature of ICP in infants?
Separated cranial sutures
While conducting Casey's neurological evaluation, the nurse notes possible harm to cranial
nerve III as evidenced with the aid of which of the subsequent symptoms?
Ptosis and dilated pupils
Which statistics must the nurse encompass in documenting Casey's ocular findings?
Lid lag for each eyes and dilated students
While presenting care for a infant with an epidural hematoma, which nursing interventions are
most crucial? (Select all that follow)
-Frequent neuro assessment
-Maintain the airway and screen O2 sat
-Implement seizure precautions
