Exam 28: Caring for the Child With a Neurological or Sensory Condition

A child is brought to the pediatric clinic by her mother,who reports redness,swelling,and pain around the child's right eye.Which information does the nurse give the mother?

A child has an invasive intracranial pressure monitoring device in place.Which assessment finding indicates that goals for a priority nursing diagnosis have been met?

A nurse assesses a 1-month old's Glasgow Coma Scale (GCS)and finds the following: opens eyes to pain,irritable cry,localizes pain.Your calculation indicates that this child's GCS is ____________________.

A woman is considering a second pregnancy,but tells the nurse she is not sure she wants to get pregnant again because her first child was born with spina bifida.She is taking folic acid on the advice of her health-care provider.Which information can the nurse provide this woman?

The clinic nurse is providing community education to a parent group.The topic is over-the-counter medications containing aspirin or aspirin compounds.Which products does the nurse advise the parents to avoid?

A student nurse is confused about the Monroe-Kelly doctrine.How does the registered nurse explain it to the student?

The pediatric nurse caring for a 3-year-old child with cerebral palsy (CP)prepares a home care teaching plan for the caregivers on discharge.Which items will the nurse include in the teaching plan?

A nurse assesses an infant for signs of increased intracranial pressure.Which signs would lead the nurse to notify the rapid response team?

A nurse is caring for four patients in the pediatric intensive care unit with head injuries or brain infections.Which child should the nurse see first?

A health-care provider administers edrophonium (Tensilon)to a school-age child with new onset of muscle weakness.The child is able to hold her eyes open for the duration of the drug's half-life.Which information does the nurse plan to teach the child and parents?

A student nurse is preparing to give a 48.5-lb(22-kg)child IV mannitol (Osmitrol).What action by the student causes the nursing instructor to intervene?

The pediatric nurse prepares a care plan for a patient admitted to the intensive care unit for meningitis.Which nursing interventions does the nurse include in the care plan for this patient? (Select all answers that apply.)

A child has been examined by a pediatric ophthalmologist,and findings indicate a dulled red reflex and cloudy lens.Which treatment plan does the nurse educate the parents on based on these findings?

An infant born with spina bifida with a repaired myelomeningocele is brought the emergency department,where the parents report that the infant is very fussy and is feeding poorly.Which nursing action takes priority?

A pediatric nurse reads the diagnosis "SCIWORA" on a child's chart.Which assessment finding does the nurse anticipate to correlate with this condition?

A nurse is caring for a child who only awakens to painful stimuli and produces no verbal responses.Which term is the most appropriate when documenting this child's status?

A pediatric nurse performs a physical examination on a neonate and notes a spinal lesion with the meninges protruding through the defect that contains spinal cord elements.The nurse documents which condition as being present?

The nurse is admitting an adolescent with known myasthenia gravis to the intensive care unit with respiratory failure.Which questions would be most important for the nurse to ask to attempt to find the cause of the problem?

A child is prescribed baclofen (Lioresal)via intrathecal pump to treat severe muscle spasms related to cerebral palsy.What teaching does the nurse provide the child and parents?

The high school nurse is teaching a healthy living class to high school seniors.One student asks why she should take folic acid now when she is not planning to become pregnant.Which response by the nurse is the most appropriate?