Exam 32: 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 what statement in preparing the child?

An 18-month-old child is brought to the emergency department after being found unconscious in the family pool.What does the nurse identify as the primary problem in drowning incidents?

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?

What is a priority of care when a child has an external ventricular drain (EVD)?

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

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

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

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

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

What finding is a clinical manifestation of increased intracranial pressure (ICP)in children?

What intervention should be beneficial in reducing the risk of Reye syndrome?

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

What is the antiepileptic medication that requires monitoring of vitamin D and folic acid?

The nurse is teaching the parents of a child with a seizure disorder about the triggers that can cause a seizure.What should the nurse include in the teaching session?

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

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

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

A child is admitted for revision of a ventriculoperitoneal shunt for noncommunicating hydrocephalus.What is a common reason for elective revision of this shunt?

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

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?