The nurse is assessing a 1-month-old infant with a new ventriculoperitoneal shunt. Which of the following signs and symptoms in this infant is concerning for increased intracranial pressure? SELECT ALL THAT APPLY

Vomiting

Poor Feeding

Weak cry

Sunken Fontanels

Irritability

Answer and Explanation

Correct Answer : A,B,E

A. Vomiting can be a sign of increased intracranial pressure (ICP).
B. Poor feeding is a concerning symptom of increased ICP.
C. A weak cry may indicate general illness but is not specifically indicative of increased ICP.
D. Sunken fontanels suggest dehydration, not increased ICP. Bulging fontanels would be concerning for increased ICP.
E. Irritability can be a sign of increased ICP in infants.

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Correct Answer is A

Explanation

A. Acute hypertension is a common complication of acute glomerulonephritis and requires frequent monitoring to prevent severe consequences.
B. Blood pressure fluctuations do not necessarily indicate chronic conditions; they can occur acutely.
C. Antibiotic therapy is not typically associated with unstable blood pressure readings in glomerulonephritis.
D. Hypotension is less common than hypertension in acute glomerulonephritis.

A. Amount of clothing appropriate; avoiding exposure to hot and cold temperatures B. Skin and nail care, tub bathing, use of soaps, lotions, and care of diaper area C. Recognition of increased crying during the 1st month and a need for emotional support person D. Recognition of normal feeding patterns and steps in the order of food introduction

Correct Answer is C

Explanation

A. While appropriate clothing is important, it is not the priority for reducing child abuse.
B. Skin and nail care are necessary for infant hygiene but are not directly related to preventing child abuse.
C. Recognizing that increased crying is normal during the first month and ensuring parents have emotional support can significantly reduce the risk of frustration that may lead to child abuse.
D. Understanding normal feeding patterns is important but less critical for the immediate goal of preventing child abuse.

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The nurse is assessing a 1-month-old infant with a new ventriculoperitoneal shunt. Which of the following signs and symptoms in this infant is concerning for increased intracranial pressure? SELECT ALL THAT APPLY

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parents of a child, hospitalized with acute glomerulonephritis, ask the nurse why blood pressure readings are being taken so often. Which of the following statements will guide the nurse's response to the parents?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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