Exam 32: The Child with Cerebral Dysfunction

What effects of an altered pituitary secretion in a child with meningitis indicates syndrome of inappropriate antidiuretic hormone (SIADH)? (Select all that apply.)

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

What test is never performed on a child who is awake?

After a tonic-clonic seizure, what symptoms should the nurse expect the child to experience?

What statement is descriptive of a concussion?

The nurse is preparing to admit a 10-year-old child with absence seizures. What clinical features of absence seizures should the nurse recognize? (Select all that apply.)

What are quick, jerky, grossly uncoordinated, irregular movements that may disappear on relaxation called?

A child has been admitted with status epilepticus. An emergency medication has been ordered. What medication should the nurse expect to be prescribed?

MATCHING Match the level of consciousness to its description. -Remaining in a deep sleep, responsive only to repeated stimulation

The nurse is caring for a child with an epidural hematoma. The nurse should assess for what signs that can indicate Cushing triad? (Select all that apply.)

What is the initial clinical manifestation of generalized seizures?

A 23-month-old child is admitted to the hospital with a diagnosis of meningitis. She is lethargic and very irritable with a temperature of 102° F. What should the nurse's care plan include?

A toddler is admitted to the pediatric unit with presumptive bacterial meningitis. The initial orders include isolation, intravenous access, cultures, and antimicrobial agents. The nurse knows that antibiotic therapy will begin when?

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

An injury to which part of the brain will cause a coma?

The nurse is caring for a 10-year-old child who has an acute head injury, has a pediatric Glasgow Coma Scale score of 9, and is unconscious. What intervention should the nurse include in the child's care plan?

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. How should the nurse interpret this?

The nurse is caring for a child with meningitis. What acute complications of meningitis should the nurse continuously assess the child for? (Select all that apply.)

If an intramuscular (IM) injection is administered to a child who has Reye syndrome, the nurse should monitor for what?

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