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

Explanation

A complete blood count (CBC) may be ordered later if further infection or sepsis is suspected, but it is not the first diagnostic test.
B. Urinalysis is the most appropriate initial test to diagnose a urinary tract infection (UTI), which is common in children with symptoms such as dysuria and irritability.
C. An abdominal ultrasound is more appropriate if there are concerns about abdominal pathology, which is not suggested by the symptoms.
D. A bladder scan is not the first diagnostic step and would be used to assess post-void residual urine if necessary.

A. Foster self-care activities. B. Provide respite services for the parents. C. Modify the environment. D. Improve the client's communication skills.

Correct Answer is A

Explanation

A. Encouraging self-care activities helps promote independence and improve the quality of life for a child with hemiplegic cerebral palsy. It focuses on maximizing the child's potential for autonomy.
B. Respite care is important for caregiver support, but fostering self-care activities for the child is a higher priority for long-term development.
C. Modifying the environment is useful for safety and mobility but does not address the child’s ability to perform self-care, which is a key aspect of daily functioning.
D. While communication skills are important, fostering self-care activities takes precedence in
supporting the child’s independence.

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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?

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Naxlex Comprehensive Predictor Exams

A 2-year-old child presents to the hospital with a fever of 38.4 Celsius and the parents state the child has had dysuria and Irritability, with a loss of appetite. What diagnostic test should the nurse expect to be ordered first based on the symptoms?

Correct Answer is B

Explanation

A home health nurse is developing a plan of care for a child diagnosed with hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?

Correct Answer is A

Explanation

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