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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. While providing assistance with activities of daily living is important, ensuring the child's environment is safe is a higher priority to prevent injuries.
B. Modifying the home for safety is the priority because children with hemiplegic cerebral palsy have motor impairments that increase their risk for accidents and injuries. A safe environment is essential for the child’s well-being.
C. Providing respite services for the parents is beneficial for the family’s overall stress management, but it is not as immediate a concern as ensuring the child’s safety.
D. Improving communication skills is important for the child's overall development, but ensuring a safe living environment takes precedence to prevent potential harm.

A. Monitor RLE pulses with vital signs B. Administer Oxycodone 3 mg Q3-4 hours PRN for pain C. Continue IV NSS bolus @ 67 ml/hour D. Decrease 02 to 2 L/min

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"C"}}

Explanation

Monitor RLE pulses with vital signs:
Anticipated. Regular monitoring of pulses, especially in areas of pain or tenderness, is essential to assess for adequate perfusion and circulation, which can be compromised in vaso-occlusive crisis.
Administer Oxycodone 3 mg Q3-4 hours PRN for pain:
Anticipated. Pain management is crucial in treating vaso-occlusive crises. Continuation of pain medication is necessary to keep the child's pain under control.
Continue IV NSS bolus @ 67 ml/hour:
Anticipated. Hydration is vital in managing a vaso-occlusive crisis as it helps to reduce blood viscosity and prevent further sickling of red blood cells.
Decrease O2 to 2 L/min:
Contraindicated. Maintaining adequate oxygenation is important in managing vaso-occlusive crises to ensure that tissues receive sufficient oxygen and to prevent further sickling of red blood cells. Decreasing oxygen flow can compromise oxygen delivery.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A home health nurse is doing the first intake visit for a child who has hemiplegic cerebral palsy. When developing a plan of care for this child, which of the following goals is the priority for the nurse to include in the plan of care?

Correct Answer is B

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"C"}}

Explanation

A school aged child is being evaluated for possible glomerulonephritis. During the physical exam the nurse recognizes that which of the following, is a possible cause?

The nurse is assessing a child who is suspected to have suffered child abuse. Which of the following statements demonstrate therapeutic communication when interacting with the child?

A nurse is speaking with the parents of a 4-year-old boy who has a cerebral palsy. The parents tell the nurse they have taken their son's name off the list for baseball next season. Which of the following is the BEST response for the nurse to make?

A 2-year-old child is diagnosed with neuroblastoma. The nurse understands that which of the following tests help to determine the extent of tumor metastasis?

The mother of a newborn child does not wish for her child to receive immunizations because she has read that immunizations, especially MMR vaccine, cause autism. Which of the following statements by the nurse is the FIRST response?

An adolescent presents to the ED following an intentional overdose of methylphenidate hydrochloride. The nurse will anticipate which of the following findings? SELECT ALL THAT APPLY.

The nurse is instructing the parents of a 5-year-old child receiving a MMR vaccine about possible serious reactions. Which of the following is considered a serious reaction? SELECT ALL THAT APPLY

An emergency room nurse is assessing a toddler with multiple bruises and burns in various stages of healing. The nurse suspects that the toddler has been abused, however the physician disagrees. What is the nurse's priority at this time?