A nurse is caring for a 3-year-old child who has viral meningitis. Which of the following findings should the nurse expect?

Koplik spots

Decreased protein in the cerebrospinal fluid

Nuchal rigidity

Decreased glucose in the cerebrospinal fluid

Answer and Explanation

The Correct Answer is C

A. Koplik spots: These are small, white lesions on the buccal mucosa associated with measles, not meningitis.
B. Decreased protein in cerebrospinal fluid (CSF): Viral meningitis typically causes normal or slightly elevated protein levels in CSF.
C. Nuchal rigidity. Nuchal rigidity (stiff neck) is a classic sign of meningitis due to inflammation of the meninges.
D. Decreased glucose in cerebrospinal fluid: Decreased glucose in CSF is associated with bacterial meningitis, not viral.

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Correct Answer is D

Explanation

A. "Flat anterior fontanel." A sunken anterior fontanel, not flat, is a sign of severe dehydration in infants.
B. "Dry, hot skin." Dry skin is a symptom of dehydration, but "hot" skin may indicate fever rather than severe dehydration.
C. "Loss of 5% of weight." A 5% weight loss indicates mild dehydration; severe dehydration is characterized by a weight loss of 10% or more.
D. "Absence of tears when crying." Absence of tears is a reliable indicator of severe dehydration in infants.

A. Accompany verbal instructions with visual references. B. Vary the classroom routine to keep the children interested. C. Limit presentation of subjects of interest to the children to the afternoons. D. Increase classroom assignments to stimulate learning.

Correct Answer is A

Explanation

A. Accompany verbal instructions with visual references. Children with ADHD benefit from multimodal teaching strategies. Combining verbal instructions with visual aids helps reinforce understanding and keeps the child focused.
B. Vary the classroom routine to keep the children interested: Children with ADHD thrive on consistency; frequent changes in routine can increase confusion and distractibility.
C. Limit presentation of subjects of interest to the afternoons: This is not evidence-based. Children’s ability to focus varies throughout the day, and important content should not be restricted to a specific time.
D. Increase classroom assignments to stimulate learning: Increasing workload can overwhelm a child with ADHD, leading to frustration and reduced engagement.

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A nurse is caring for a 3-year-old child who has viral meningitis. Which of the following findings should the nurse expect?

Nursing Test Bank

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