A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?

Decreased attention span

Hyperactivity

Tachycardia

Hypotension

Answer and Explanation

The Correct Answer is A

A. Decreased attention span is a common manifestation of increased intracranial pressure, as pressure on the brain can affect cognitive function.

B. Hyperactivity is not typically associated with increased intracranial pressure. It would be more common for the child to exhibit lethargy or irritability.

C. Tachycardia is not a primary symptom of increased intracranial pressure. Typically, bradycardia (slow heart rate) is seen in cases of severe intracranial pressure.

D. Hypotension is not usually associated with increased intracranial pressure. In fact, increased intracranial pressure often leads to elevated blood pressure and a widening pulse pressure.

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Correct Answer is B

Explanation

A. Encouraging large amounts of fluids may not be effective in preventing nausea and vomiting and can worsen dehydration if the child is unable to keep fluids down.

B. Administering an antiemetic 30 minutes to 1 hour before chemotherapy is the most effective strategy for preventing nausea and vomiting. This proactive approach helps to prevent the symptoms before they occur.

C. NPO until symptoms subside is not appropriate because it can lead to dehydration and malnutrition.

D. Administering an antiemetic after symptoms begin is reactive rather than proactive, and it is more effective to prevent symptoms from occurring.

A. Place the child in an airborne infection isolation room. B. Encourage an increased fluid intake for the toddler. C. Increase the toddler's dietary sodium intake. D. Administer corticosteroids to the toddler.

Correct Answer is D

Explanation

A. There is no indication that the child has a contagious infection, so airborne isolation is unnecessary.

B. Increasing fluid intake can worsen edema in nephrotic syndrome, as it may contribute to fluid retention.

C. In nephrotic syndrome, reducing dietary sodium intake is typically recommended to help manage edema, not increase it.

D. Corticosteroids are the standard treatment for minimal change nephrotic syndrome to reduce inflammation and protein loss in the urine.

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A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is the most beneficial nursing action to prevent or minimize chemotherapy associated nausea and vomiting?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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