Exam 45: Cerebral Dysfunction

The initial clinical manifestation of generalized seizures is:

A toddler fell out of a second-story window.She had 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." The nurse should explain that the toddler:

The priority nursing intervention when a child is unconscious after a fall is to:

Which statement is most descriptive of a concussion?

When taking the history of a child hospitalized with Reye's syndrome,the nurse should not be surprised that a week ago the child had recovered from:

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

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:

An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt.Which interventions should be included in the child's postoperative care (Select all that apply)?

How should the nurse explain positioning for a lumbar puncture to a 5-year-old child?

Which type of seizure involves both hemispheres of the brain?

What action may be beneficial in reducing the risk of Reye's syndrome?

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.What type of head injury should the nurse suspect?

Which statement best describes a subdural hematoma?

Which information should the nurse give to a child who is to have magnetic resonance imaging (MRI)of the brain?

An appropriate nursing intervention when caring for an unconscious child should be to:

The nurse is caring for a child with severe head trauma after a car accident.Which is an ominous sign that often precedes death?

Which term is used to describe a child's level of consciousness when the child can be aroused with stimulation?

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:

When caring for the child with Reye's syndrome,the priority nursing intervention is to:

The nurse is assessing a child who was just admitted to the hospital for observation after a head injury.The most essential part of the nursing assessment to detect early signs of a worsening condition is: