Exam 46: The Child With Cerebral Dysfunction

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

Which type of fracture describes traumatic separation of cranial sutures?

When a 10 year old has been hit by a car while riding his bicycle in front of the school,the school nurse immediately assesses airway,breathing,and circulation.What should be the next nursing action?

An infant diagnosed 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.)

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

The nurse is performing a Glasgow Coma Scale (GCS)on a school-age child with a head injury.The child opens eyes spontaneously,obeys commands,and is oriented to person,time,and place.Which is the score the nurse should record?

Which type of seizure may be difficult to detect?

What is the initial clinical manifestation of generalized seizures?

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.What is the most appropriate nursing action in response to the parent's concern?

A young child's parents call the nurse after their child was bitten by a raccoon in the woods.The nurse's recommendation should be based on knowing that:

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

The mother of a 1-month-old infant tells the nurse that she worries that her baby will get meningitis like her oldest son did when he was an infant.On what information should the nurse's response be based upon?

Which type of seizure involves both hemispheres of the brain?

A child has been seizure-free for 2 years.A father asks the nurse how much longer the child will need to take the antiseizure medications.The nurse includes which intervention in the response?

What is the priority nursing intervention when a child is unconscious after a fall?

Which drug would be used to treat a child who has increased intracranial pressure (ICP)resulting from cerebral edema?

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 infectious illness?

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?

When caring for the child diagnosed with Reye's syndrome,what is the priority nursing intervention?

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 what complication?