A nurse is collecting data from an infant who has hydrocephalus.
Which of the following findings should the nurse expect?

Soft and flat fontanels.

Proteinuria.

Dilated scalp veins.

Hypertension.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Soft and flat fontanels are normal in healthy infants. In hydrocephalus, increased intracranial pressure causes bulging fontanels due to excess cerebrospinal fluid accumulation.

Choice B rationale: Proteinuria is a renal finding and not associated with hydrocephalus. Hydrocephalus affects the central nervous system, not kidney filtration or protein excretion.

Choice C rationale: Dilated scalp veins occur due to elevated intracranial pressure from cerebrospinal fluid buildup. Venous distension is a visible sign in infants with hydrocephalus.

Choice D rationale: Hypertension is not a typical sign of hydrocephalus in infants. The condition primarily presents with neurological and cranial changes, not systemic blood pressure elevation.

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Free Nursing Study Resources

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

Explanation

The correct answer is A, B, C, and D. After a clubfoot repair surgery, the plan of care should include observing for skin irritation, keeping the cast uncovered to allow drying, assessing the color of toes, and checking toes for capillary refill. Keeping the casted leg lowered is not recommended as it can lead to swelling.

A. Up and back. B. Down and out. C. Down and back. D. Up and out.

Correct Answer is C

Explanation

Choice A rationale

Pulling the earlobe up and back is the correct method for administering ear drops in adults, not in children.

Choice B rationale

Pulling the earlobe down and out is not the correct method for administering ear drops.

Choice C rationale

For children, the earlobe should be pulled down and back to straighten the ear canal. The medication can then be dropped into the ear canal, and the ear should remain facing up for about 1 or 2 minutes to allow the medication to come into contact with the infection.

Choice D rationale

Pulling the earlobe up and out is not the correct method for administering ear drops.

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A nurse is collecting data from an infant who has hydrocephalus. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What would be included in the plan of care for a child just returned to the floor from surgery in which a clubfoot was repaired? Select all that apply.

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

Explanation

Gentamicin ear drops are prescribed.How should they be administered?

Correct Answer is C

Explanation

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A nurse is collecting data from an infant who has hydrocephalus.
Which of the following findings should the nurse expect?