A nurse is assisting with the care of a 2-month-old infant who has a subdural hematoma. Which of the following findings should the nurse expect?

Depressed fontanels

Decreased temperature

Difficult to arouse

Weak cry

Answer and Explanation

The Correct Answer is C

Choice A reason:

A subdural hematoma may not directly affect the fontanels. Depressed fontanels can be a sign of dehydration or other underlying conditions, but they are not specifically associated with a subdural hematoma.

Choice B reason:

A subdural hematoma would not typically cause a decrease in body temperature. This finding may be related to other factors, but it is not a characteristic sign of a subdural hematoma.

Choice C reason:

Correct. A subdural hematoma is a collection of blood between the dura mater and the brain. This can lead to increased intracranial pressure and result in the infant being difficult to arouse.

Choice D reason:

While a weak cry can be an indication of distress or illness in an infant, it is not a specific sign of a subdural hematoma. Other assessments, including neurological signs, are crucial in evaluating the infant's condition.

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Correct Answer is D

Explanation

Choice A reason:

Providing detailed information about the procedure is important, but the first step in obtaining informed consent is to ensure that the parent understands the information. This can be achieved by assessing their understanding.

Choice B reason:

Discussing the benefits of the procedure is part of providing information for informed consent, but it should come after assessing the parent's understanding.

Choice C reason:

Explaining the risks associated with the procedure is important, but the first step is to ensure the parent comprehends this information, which can be achieved through assessment.

Choice D reason:

This statement is correct. Before proceeding with detailed information, it is essential to determine the parent's current understanding of the procedure to ensure they can make an informed decision.

A. Give pain medications on a schedule. B. Initiate contact isolation. C. Offer clear liquids. D. Maintain strict bed rest.

Correct Answer is A

Explanation

Choice A reason:

Providing pain medication on a schedule is important for managing pain and ensuring the child's comfort, especially after a surgery involving peritonitis.

Choice B reason:

Contact isolation is not typically indicated for a child postoperative for appendicitis unless there is a specific infectious concern. It is not a routine intervention.

Choice C reason:

Offering clear liquids may be appropriate depending on the child's individual recovery and surgeon's orders. However, this should be determined on an individual basis and is not a standard postoperative intervention.

Choice D reason:

Maintaining strict bed rest may not be necessary for all children postoperative for appendicitis. Early mobilization and ambulation are often encouraged to promote recovery.

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A nurse is assisting with the care of a 2-month-old infant who has a subdural hematoma. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with obtaining informed consent from the parent of a toddler who is scheduled for a surgical procedure. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is assisting with the plan of care for a child who is 12 hr postoperative following a ruptured appendix with peritonitis. Which of the following actions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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