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Exhibits

Which of the following complications should the nurse identify as being potential risks for this child? Select all that apply.

Laryngospasm

Hydrocephalus

Demyelination

Seizures

Subdural effusions

Hearing loss

Guillain-Barré syndrome

Answer and Explanation

Correct Answer : B,D,E,F

Rationale for Correct Answers:

Hydrocephalus: Inflammation of the meninges can block cerebrospinal fluid (CSF) flow, leading to ventricular dilation and hydrocephalus, a known complication of bacterial meningitis.
Seizures: Meningeal irritation and increased intracranial pressure can cause seizures. Children with altered mental status and fever are at heightened risk.
Subdural effusions: These may develop due to inflammation and accumulation of fluid between the dura and arachnoid layers, often seen in pediatric meningitis cases.
Hearing loss: Sensorineural hearing loss may result from inflammation or damage to the auditory nerve or cochlea. It’s a well-documented sequela of meningitis.

Rationale for Incorrect Choices:

Laryngospasm: Typically associated with airway irritation or hypocalcemia, not a common or expected complication of meningitis.
Demyelination: More commonly linked to conditions like multiple sclerosis. Meningitis does not typically cause demyelination of neurons.
Guillain-Barré syndrome: An autoimmune condition often triggered by viral illness, not by meningitis. It involves peripheral nervous system demyelination, unrelated to this case.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. "Fasten the harness over your infant's winter coat.": Thick clothing, like winter coats, can compress in a crash, causing the harness to fit loosely and increasing injury risk. The harness should be snug directly on the infant’s body, with blankets placed over after securing.

B. "Keep the car seat in a rear-facing position until your infant is 2 years old.": Rear-facing car seats provide the best protection for infants’ heads, necks, and spines during a crash. Infants should seat rear-facing until at least 2 years of age.

C. "Pad the backrest of the car seat with a thick blanket before securing your infant.": Adding padding behind the infant can alter the fit and safety of the car seat. It is not advised to add any padding that did not come with the seat.

D. "Ensure the airbag is activated if the car seat is in the front passenger seat.": Airbags pose a serious risk to infants in car seats placed in the front passenger seat. It is safest to place infants in the rear seat, away from active airbags.

A. Soft, flat fontanels B. Increased sleepiness C. Enlarged head circumference D. Crying when disturbed

Correct Answer is A

Explanation

A. Soft, flat fontanels: A soft, flat fontanel indicates that intracranial pressure has decreased and is within normal limits. Elevated pressure often causes bulging or tense fontanels, so this finding suggests effective treatment.

B. Increased sleepiness: Excessive sleepiness or lethargy can indicate worsening or ongoing increased intracranial pressure, so it is not a sign of effective treatment and requires further assessment.

C. Enlarged head circumference: An increasing head circumference in an infant can be a sign of accumulating cerebrospinal fluid or brain swelling, indicating persistent or worsening increased intracranial pressure.

D. Crying when disturbed: While crying is a normal infant behavior, excessive irritability or inconsolable crying may indicate discomfort or increased intracranial pressure rather than improvement. Normal, calm behavior is preferable after treatment.

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Exhibits Which of the following complications should the nurse identify as being potential risks for this child? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the parent of an infant about car seat safety. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is evaluating an infant who received treatment for increased intracranial pressure. Which of the following findings should the nurse identify as an indication that the treatment was effective?

Correct Answer is A

Explanation

Exhibits For each client finding, click to specify if the finding is consistent with meningitis or influenza. Each finding may support more than 1 disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.

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Exhibits

Which of the following complications should the nurse identify as being potential risks for this child? Select all that apply.