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.
The Correct Answer is A
Choice A rationale
A bulging fontanel is a common sign of hydrocephalus in infants. The fontanels, or soft spots on an infant’s head, allow for brain growth. When there is an excess of cerebrospinal fluid, as in hydrocephalus, it can cause the fontanels to bulge outwards.
Choice B rationale
Proteinuria, or excess protein in the urine, is not typically associated with hydrocephalus. It is more commonly seen in kidney diseases.
Choice C rationale
Dilated scalp veins may be seen in hydrocephalus due to increased pressure, but it is not as common or as early a sign as a bulging fontanel.
Choice D rationale
Hypertension is not typically associated with hydrocephalus in infants. While hydrocephalus can cause increased intracranial pressure, it does not typically cause systemic hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale
Asking the guardians to leave during the procedure is not recommended. The presence of a familiar person can provide comfort and reduce anxiety for the toddler during a stressful procedure.
Choice B rationale
Performing the procedure with the child in his bed can provide a sense of security and familiarity, which can help reduce anxiety and fear.
Choice C rationale
Using the child’s favorite toy to explain or distract during the procedure can help the child understand what to expect and provide a sense of control.
Choice D rationale
Applying lidocaine and prilocaine (EMLA) Cream to 2-3 potential insertion sites can help numb the area and reduce pain during the procedure.
Choice E rationale
Allowing the child to make one choice regarding the procedure can provide a sense of control and cooperation.
Correct Answer is ["6"]
Explanation
Step 1 is to set up the equation to solve for the unknown, which is the volume in mL. The equation is (300 mg ÷ 250 mg) × 5 mL.
Step 2 is to perform the calculation: (300 mg ÷ 250 mg) × 5 mL = 6 mL. So, the nurse should administer 6 mL of amoxicillin oral solution.
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