Questions with Verified Answers
The nurse is collecting data about a child who has been admitted to the hospital with a
diagnosis of seizures. Which action would best assist in determining the causes of the
seizure? - Ans -Obtaining a history regarding factors that may occur before the
seizure activity
A child has a basilar skull fracture. Which health care provider's prescription should the
nurse question? - Ans -Suction via the nasotracheal route as needed.
The nurse is assisting to develop a plan of care for a child who is at risk for seizures. Which
interventions apply if the child has a seizure? Select all that apply. - Ans -Time the
seizure.
Stay with the child.
Move furniture away from the child.
The parents of a child recently diagnosed with cerebral palsy ask the nurse about the
disorder. The nurse bases the response on the understanding that cerebral palsy is which
type of condition? - Ans -A chronic disability characterized by impaired muscle
movement and posture
The nurse is assisting with data collection from an infant who has been diagnosed with
hydrocephalus. If the infant's level of consciousness diminishes, which is a priority
intervention? - Ans -Palpating the anterior fontanel
The nurse is reviewing the record of a child with increased intracranial pressure and notes
that the child has exhibited signs of decerebrate posturing. On data collection of the child,
the nurse expects to note which characteristic of this type of posturing? - Ans -Rigid
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extension and pronation of the arms and legs
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, A child is diagnosed with Reye's syndrome. The nurse assists to develop a nursing care plan
for the child and should include which intervention in the plan? - Ans -Providing a
quiet atmosphere with dimmed lighting
Which represents a primary characteristic of an autism spectrum disorder? - Ans -
Lack of social interaction and awareness
To ensure a safe environment for a child admitted to the hospital for a craniotomy to
remove a brain tumor, the nurse should include which in the plan of care? - Ans -
Initiating seizure precautions
The nurse is caring for a newborn diagnosed with Down syndrome. The parents are asking
questions about the disorder. The nurse should provide which information when discussing
Down syndrome? - Ans -The condition is congenital and results in moderate to severe
retardation and has been linked to an extra chromosome 21 (group G).
The nurse assists in developing a plan of care for the child with meningitis. Which should
be the priority client problem for a child with a meningitis diagnosis? - Ans -
Neurological dysfunction
The nurse should implement which in the care of a child who is having a seizure? Select all
that apply. - Ans -time the seizure
stay with the child
loosen clothing around the childs neck
The nurse reinforces home care instructions to the mother of a child recovering from Reye's
syndrome. Which statement by the mother indicates a need for further teaching? -
Ans -"I need to give frequent, small, nutritious meals if my child starts to vomit."
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