A nurse is providing teaching to the parent of an infant about car seat safety. Which of the following statements by the parent indicate an understanding of the teaching?

A. Report of diplopia

Diplopia, or double vision, can be a symptom of increased intracranial pressure (ICP) due to its effects on cranial nerve function. Therefore, it is a manifestation that the nurse should recognize as indicating the presence of increased ICP.

B. Hyperactivity

Hyperactivity is not typically associated with increased ICP. Instead, manifestations of increased ICP often include altered level of consciousness, lethargy, or even coma.

C. Nuchal rigidity

Nuchal rigidity, or stiffness in the neck, is not a direct manifestation of increased ICP. It is more commonly associated with meningitis or other conditions affecting the meninges.

D. Report of sore throat

A sore throat is not typically associated with increased ICP unless it is related to complications such as pharyngeal injury or infection.

A. A child who is postoperative following a tonsillectomy and reports moderate throat pain.

While postoperative pain management is important, moderate throat pain in a child who has undergone a tonsillectomy is expected. This client's condition is stable, and their pain can be managed with appropriate interventions. It is not the most urgent situation among the options provided.

B. A child who had a cardiac catheterization using the femoral artery and has blanching of the toes.

Blanching of the toes following a cardiac catheterization using the femoral artery can indicate compromised circulation, potentially leading to ischemia or necrosis. This requires immediate assessment to prevent further complications.

C. A child who has bacterial pneumonia and is due for their initial dose of IV antibiotics.

While timely administration of antibiotics is important in the treatment of bacterial pneumonia, missing the initial dose by a short period of time is not likely to result in significant harm compared to a potential circulatory compromise in option B.

D. A child who has juvenile idiopathic arthritis and needs assistance with the application of prescribed splints.

While providing assistance with splint application is necessary for comfort and mobility, it is not as urgent as assessing potential circulatory compromise or initiating antibiotic therapy for pneumonia.