A nurse is assessing a child who has a suspected head injury. What would be the initial action the nurse should take to assess the child's cognitive status?

Have blood work done

Monitor intracranial pressure

Recommend a CT scan

Use the Glasgow cognitive scale

Answer and Explanation

The Correct Answer is D

A. Have blood work done is not the initial priority for assessing cognitive status in a child with a suspected head injury. Blood work may be ordered later to assess for any contributing factors but is not the first step in cognitive assessment.

B. Monitor intracranial pressure is important but typically comes after an initial cognitive assessment. Elevated intracranial pressure may be suspected after assessing cognitive function and other neurological signs.

C. Recommend a CT scan might be ordered by a healthcare provider to assess for structural brain damage, but the initial assessment of cognitive status should be done first to evaluate the severity of the injury.

D. Use the Glasgow cognitive scale is the correct initial action. The Glasgow Coma Scale (GCS) is used to assess a child's level of consciousness and cognitive function following a head injury. It helps determine the severity of the injury and guides further intervention.

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Correct Answer is ["A","C","D"]

Explanation

A. Ensure the child is placed on droplet precautions is the priority because bacterial meningitis is highly contagious. Droplet precautions help prevent the spread of the infection to others in the hospital.

B. Encouraging the child to drink plenty of fluids is not the priority in the acute phase of meningitis, as increased fluid intake may not be appropriate, especially if there is elevated intracranial pressure or vomiting. Fluid management should be carefully monitored by the healthcare team.

C. Administering intravenous antibiotics is crucial because bacterial meningitis requires prompt treatment with antibiotics to prevent complications and reduce mortality.

D. Providing comfort measures such as dimming the lights is important because the child may be sensitive to light, noise, and stimuli. A calm, quiet environment can help reduce discomfort and manage symptoms like headache and photophobia.

E. Preparing the child for a CT scan of the head might be indicated if there are signs of increased intracranial pressure, but it is not the immediate priority. Initial treatment with antibiotics and managing the environment are higher priorities.

A. "Since there's a family history, your child is at a higher risk of intussusception." B. "Intussusception is more common in infants and toddlers, so your child is at a lower risk." C. "The risk of intussusception remains the same across all age groups, so your child has an equal risk." D. "Intussusception is a common condition in school-age children, so your child is at a higher risk."

Correct Answer is B

Explanation

A. "Since there's a family history, your child is at a higher risk of intussusception." is not entirely accurate. Family history does not significantly increase the risk of intussusception. It is more commonly seen in infants and toddlers, not school-age children.

B. "Intussusception is more common in infants and toddlers, so your child is at a lower risk." is correct. Intussusception typically occurs in infants and toddlers between the ages of 6 months and 3 years, so the risk is lower in school-age children.

C. "The risk of intussusception remains the same across all age groups, so your child has an equal risk." is incorrect. The incidence of intussusception is higher in younger children, particularly those under 2 years old.

D. "Intussusception is a common condition in school-age children, so your child is at a higher risk." is incorrect. Intussusception is less common in school-age children and is more frequently seen in younger children.

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A nurse is assessing a child who has a suspected head injury. What would be the initial action the nurse should take to assess the child's cognitive status?

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Naxlex Comprehensive Predictor Exams

A 6-year-old child is admitted to the hospital with suspected bacterial meningitis. What is the nursing priority in the care of this child? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

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Correct Answer is B

Explanation

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