Exam 27: The Child with Cerebral Dysfunction

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

The nurse is monitoring an infant for signs of increased intracranial pressure (ICP). Which are late signs of increased intracranial pressure (ICP) in an infant? (Select all that apply.)

A 3-year-old child is hospitalized after a submersion injury. The child's mother complains to the nurse, "Being at the hospital seems unnecessary when he is perfectly fine." What is the nurse's best reply?

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

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?

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

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?

What is an appropriate nursing intervention when caring for an unconscious child?

Which type of seizure involves both hemispheres of the brain?

What is beneficial in reducing the risk of Reye syndrome?

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

Which neurologic diagnostic test gives a visualized horizontal and vertical cross-section of the brain at any axis?

The nurse is teaching nursing students about childhood fractures. Which describes a compound skull fracture?

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

Which is the initial clinical manifestation of generalized seizures?

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.)

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?

A 5-year-old girl sustained a concussion when she fell out of a tree. In preparation for discharge, the nurse is discussing home care with her mother. Which statement made by the mother indicates a correct understanding of the teaching?

Which drug should the nurse expect to administer to a preschool child who has increased intracranial pressure (ICP) resulting from cerebral edema?