Exam 32: The Child With Cerebral Dysfunction

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.How should the nurse respond?

A lumbar puncture (LP)is being done on an infant with suspected meningitis.The nurse expects which results for the cerebrospinal fluid that can confirm the diagnosis of meningitis?

The mother of a 1-month-old infant tells the nurse she worries that her baby will get meningitis like the child's younger brother had when he was an infant.The nurse should base a response on which information?

The nurse is discussing long-term care with the parents of a child who has a ventriculoperitoneal shunt.What issues should be addressed?

A pregnant woman asks about prenatal diagnosis of hydrocephalus.The nurse's response should be based on which knowledge?

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 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 an epidural hematoma.The nurse should assess for what signs that can indicate Cushing triad?

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

What cerebrospinal fluid (CSF)analysis should the nurse expect with viral meningitis?

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?

What is the initial clinical manifestation of generalized seizures?

What is a nursing intervention to reduce the risk of increasing intracranial pressure (ICP)in an unconscious child?

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

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. _________

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. ______________

A 10-year-old boy on a bicycle has been hit by a car in front of a school.The school nurse immediately assesses airway,breathing,and circulation.What should be the next nursing action?

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

When taking the history of a child hospitalized with Reye syndrome,the nurse should not be surprised if a week ago the child had recovered from what?

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?