Exam 32: The Child with Cerebral Dysfunction

The health care provider has prescribed valproic acid (Depakene) 30 mg/kg/day divided bid for a child with a seizure disorder. The child weighs 77 lb. The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number. __________

The nurse is caring for a child with increased intracranial pressure (ICP). What interventions should the nurse plan for this child? (Select all that apply.)

The nurse is caring for a child with a subdural hematoma. The nurse should assess for what signs that can indicate brainstem compression? (Select all that apply.)

MATCHING Match the level of consciousness to its description. -Confusion regarding time and place

A 2-year-old child starts to have a tonic-clonic seizure. The child's jaws are clamped. What is the most important nursing action at this time?

A child has a seizure disorder. What test should be done to gather the most specific information about the type of seizure the child is having?

The health care provider has prescribed fosphenytoin (Cerebyx) 4 mg/kg/day divided every 12 hours for a child with a seizure disorder. The child weighs 55 lb. The nurse is preparing to administer the 1200 dose. Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number. ______________

What term is used when a patient remains in a deep sleep, responsive only to vigorous and repeated stimulation?

What is important to incorporate in the plan of care for a child who is experiencing a seizure?

The nurse is planning care for a school-age child with bacterial meningitis. What intervention should be included?

MATCHING Match the level of consciousness to its description. -Impaired decision making

A child is on phenytoin (Dilantin). What should the nurse encourage?

The health care provider has prescribed gabapentin (Neurontin) 30 mg/kg/day divided q 8 hours for a child with a seizure disorder. The child weighs 110 lb. The nurse is preparing to administer the 1200 dose. Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number. _________

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. What sign or symptom is considered a manifestation of postconcussion syndrome and does not necessitate medical attention?

MATCHING Match the level of consciousness to its description. -Arousable with stimulation

The nurse is doing a neurologic assessment on a 2-month-old infant after a car accident. Moro, tonic neck, and withdrawal reflexes are present. How should the nurse interpret these findings?

The nurse is preparing to admit a 7-year-old child with complex partial seizures. What clinical features of complex partial seizures should the nurse recognize? (Select all that apply.)

What term is used to describe a child's level of consciousness when the child is arousable with stimulation?

A young adolescent experiences infrequent migraine episodes. What pharmacologic intervention is most likely to be prescribed?

A 10-year-old child, without a history of previous seizures, experiences a tonic-clonic seizure at school that lasts more than 5 minutes. Breathing is not impaired. Some postictal confusion occurs. What is the most appropriate initial action by the school nurse?