MATERNITY AND PEDIATRIC NURSING 4TH ED CHAPTER 38 TEST BANK (203) QUESTIONS AND 100% CORRECT ANSWERS|LATEST 2025/2026|GRADED A+|VERIFIED

MATERNITY AND PEDIATRIC NURSING 4TH ED

100% CORRECT ANSWERS|LATEST


The nurse is caring for a child hospitalized with Reye syndrome who is in the acute stage of
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the illness. The nurse would assess the child most carefully for what finding?
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A. Indications of increased intracranial pressure
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B. An increase in the blood glucose level
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C. A decrease in the liver enzymes
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D. A presence of protein in the urine - ANSWER-
B B B B B B B B B Answer: A B




Rationale: Reye syndrome is characterized by brain swelling, liver failure, and death in hours if
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treatment is not initiated. Therefore, increased intracranial pressure could occur. Liver enzym
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e

levels typically increase. Blood glucose levels and protein in the urine are not characteristic of
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this illness.
B




Question format: Multiple Choice
B B B




Chapter 38: Nursing Care of the Child With an Alteration in Intracranial Regulation/Neurologic
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Disorder

Cognitive Level: Apply B B




Client Needs: Physiological Integrity: Reduction of Risk Potential
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Integrated Process: Nursing Process B B B




Reference: p. 1363 B B




The physician has ordered rectal diazepam for a 2-year-old boy with status epilepticus. Which
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instruction is essential for the nurse to teach the parents?
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A. Monitor their child's level of sedation.
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B. Watch for fever indicating infection.
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C. Gradually reduce the dosage as seizures stop.
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, D. Monitor for an allergic reaction to the medication. - ANSWER-
B B B B B B B B B B Answer: A B




Rationale: Diazepam is useful for home management of prolonged seizures and requires that t
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he

parents be educated on its proper administration. Monitoring the child's level of sedation is ke
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y

when giving diazepam because it slows the central nervous system. Parents need to monitor t
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he

overall health of the child, including temperature when needed, but that has nothing to do wit
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h

the diazepam. When the use of an anticonvulsant is stopped, gradual reduction of the dosage
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is

necessary to prevent seizures or status epilepticus. This is not done without a physician's orde
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r.

Monitoring for allergic reactions is necessary when any medications have been prescribed, bu
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t is
B




not specific to diazepam.
B B B




Question format: Multiple Choice
B B B




Chapter 38: Nursing Care of the Child With an Alteration in Intracranial Regulation/Neurologic
B B B B B B B B B B B B




Disorder

Cognitive Level: Apply B B




Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
B B B B B B B




Integrated Process: Teaching/Learning
B B




Reference: p. 1342 B B




A 4-year-old boy has a febrile seizure during a well-child visit. What action would be a
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priority?

A. Hyperextending the child's head while placing him on his side
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B. Using a tongue blade to pry open the child's jaw
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C. Loosening the child's clothing to ensure a patent airway
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D. Protecting the child from harm during the seizure - ANSWER-
B B B B B B B B B B Answer: D B




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