Exam 28: The Child with Cerebral Dysfunction

The vector reservoir for agents causing viral encephalitis in the United States is:

The nurse is caring for a neonate with suspected meningitis.Which clinical manifestations should the nurse prepare to assess if meningitis is confirmed? (Select all that apply.)

The nurse is teaching nursing students about childhood nervous system tumors.Which best describes a neuroblastoma?

The nurse is monitoring a 7-year-old child post-surgical resection of an infratentorial brain tumor.Which vital sign findings indicate Cushing's triad?

Which statement best describes a subdural hematoma?

A child is unconscious after a motor vehicle accident.The watery discharge from the nose tests positive for glucose.The nurse should recognize that this suggests:

The nurse is closely monitoring a child who is unconscious after a fall and notices that the child suddenly has a fixed and dilated pupil.The nurse should interpret this as:

A toddler fell out of a second-story window.She had a brief loss of consciousness and vomited four times.Since admission,she has been alert and oriented.Her mother asks why a computed tomography (CT)scan is required when she "seems fine." Which explanation should the nurse give?

Which of the following types of seizures may be difficult to detect?

Which are clinical manifestations of increased intracranial pressure (ICP)in infants? (Select all that apply.)

An adolescent boy is brought to the emergency department after a motorcycle accident.His respirations are deep,periodic,and gasping.There are extreme fluctuations in blood pressure.Pupils are dilated and fixed.The nurse should suspect which type of head injury?

A 6-year-old child is having a generalized seizure in the classroom at school.Place in order the interventions the school nurse should implement starting with the highest-priority intervention sequencing to the lowest-priority intervention.Provide answer using lowercase letters separated by commas (e.g.,a,b,c,d,e). A) Take vital signs. B) Ease child to the floor. C) Allow child to rest. D) Turn child to the side. E) Integrate child back into the school environment.

The nurse is taking care of a child who is alert but showing signs of increased intracranial pressure.Which test is contraindicated in this case?

Which is the priority nursing intervention for an unconscious child after a fall?

Children taking phenobarbital (phenobarbital sodium)and/or phenytoin (Dilantin)may experience a deficiency of:

The nurse is preparing a school-age child for computed tomography (CT scan)to assess cerebral function.The nurse should include which statement in preparing the child?

Which clinical manifestations would suggest hydrocephalus in a neonate?

The nurse has documented that a child's level of consciousness is obtunded.Which describes this level of consciousness?

A school-age child has sustained a head injury and multiple fractures after being thrown from a horse.The child's level of consciousness is variable.The parents tell the nurse that they think their child is in pain because of periodic crying and restlessness.The most appropriate nursing action is to:

The nurse has received report on four children.Which child should the nurse assess first?