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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Elevating the head of the bed may be useful after airway management but is not the priority in anaphylaxis.
B. Administering IM epinephrine is the priority action in anaphylaxis, as it works rapidly to reverse the symptoms by constricting blood vessels, relaxing smooth muscles, and improving breathing.
C. Determining the allergen is important for future prevention, but the immediate priority is treating the reaction.
D. While establishing IV access is important for fluid resuscitation, it is not the priority over administering epinephrine in anaphylaxis.
Correct Answer is C
Explanation
A. Encopresis refers to the inappropriate passage of stool, typically seen in children with chronic constipation. It is not associated with mechanical obstruction.
B. Pyloric stenosis involves a narrowing of the pyloric sphincter, leading to projectile vomiting rather than a mechanical obstruction of the intestines.
C. Hirschsprung's disease involves inadequate motility of part of the colon due to a lack of ganglion cells, leading to a mechanical obstruction.
D. Enterocolitis refers to inflammation of the intestines and is not a primary cause of mechanical obstruction.
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