A nurse is assessing a 5-month-old Infant who has had a seizure and high pitched crying with a high fever. The nurse anticipates the need for which diagnostic testing?

Computed tomography scan (CT scan)

Electroencephalogram (EEG)

Analysis of Cerebral Spinal Fluid (CSF)

Blood Culture &. Sensitivity (C&S)

Answer and Explanation

The Correct Answer is C

A.   A CT scan is typically used to evaluate structural issues in the brain, such as tumors or bleeding, rather than infections like meningitis.
B.   An EEG is used to diagnose epilepsy or other seizure disorders, but it would not help in diagnosing the cause of a febrile seizure related to a possible infection.
C.   In a 5-month-old with a seizure and high fever, meningitis is a critical consideration. The analysis of CSF through a lumbar puncture is required to confirm or rule out meningitis. Fever with a seizure in infants may indicate an infection such as bacterial or viral meningitis, making CSF analysis essential.
D.   While blood cultures can help identify an infection, CSF analysis is more specific in cases of suspected meningitis, as it directly tests for infection in the central nervous system.

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Correct Answer is ["B","C","E"]

Explanation

A. NSAIDs may help with pain management, but they are not the primary treatment for SCFE.
B. Restricting weight-bearing activities is crucial to prevent further damage and complications to the affected hip joint.
C. Crutches may be prescribed to assist with mobility and prevent weight-bearing on the affected hip.
D. Ice packs may reduce inflammation but are secondary to more important interventions like weight restriction and orthopedic referral.
E. Immediate referral to an orthopedic specialist is necessary for appropriate diagnosis and management, including possible surgery.
F. Heat packs are not recommended for SCFE because they could increase blood flow and swelling in the affected area.

A. Administer intravenous antibiotics B. Continue to monitor the child for complications C. Prepare for a balloon angioplasty D. Notify the cardiologist of the findings

Correct Answer is D

Explanation

A. Antibiotics are not indicated for coarctation of the aorta.
B. Monitoring is important, but the immediate action is to notify the cardiologist for further intervention.
C. Balloon angioplasty is a potential treatment for coarctation of the aorta but would be decided by the cardiologist after assessment.
D. Coarctation of the aorta causes a narrowing of the aorta, leading to differences in blood pressure and pulse strength between the upper and lower extremities. The nurse should notify the cardiologist for further evaluation and management.

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A nurse is assessing a 5-month-old Infant who has had a seizure and high pitched crying with a high fever. The nurse anticipates the need for which diagnostic testing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A Nurse is caring for a child with Slipped Capital Femoral Epiphysis (SCFE). Which interventions should be prioritized for a child with SCFE? SELECT ALL THAT APPLY.

Correct Answer is ["B","C","E"]

Explanation

Correct Answer is D

Explanation

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