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The nurse is caring for a 5 year old child with meningitis. Which of the following signs or symptoms may indicate increased intracranial pressure in this child?

Fever and photophobia

Increased heart rate and respiratory rate

Headache and vomiting

Bulging anterior fontanelle

Answer and Explanation

The Correct Answer is C

A. Fever and photophobia are common symptoms of meningitis but do not indicate increased ICP.

B. Increased heart and respiratory rates are not specific signs of increased ICP.

C. Headache and vomiting are classic signs of increased ICP in children with meningitis.

D. A bulging anterior fontanelle may indicate increased ICP in infants, but this is not applicable to a 5-year-old.

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Correct Answer is B

Explanation

A. Babbling is appropriate at this developmental stage.

B. Failure to thrive can indicate poor nutrition or other health issues requiring urgent intervention.

C. Sitting with assistance is common in cerebral palsy at this age.

D. Spastic movements are common with cerebral palsy and do not require immediate intervention unless they worsen.

A. Provide a flexible schedule that adjusts to the child's interests. B. Allow for imaginative play with peers without supervision. C. Establish a reward system for positive behavior. D. Allow for adjustment of rules to correlate with the child's behavior.

Correct Answer is C

Explanation

A. Children with autism typically benefit from a consistent schedule rather than a flexible one.

B. Imaginative play with supervision ensures the child’s safety and helps with social skills, as some children with autism may struggle with peer interaction.

C. A reward system for positive behavior can reinforce desired actions and help manage challenging behaviors.

D. Consistent rules help provide structure, which is generally beneficial for children with autism.

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The nurse is caring for a 5 year old child with meningitis. Which of the following signs or symptoms may indicate increased intracranial pressure in this child?

Nursing Test Bank

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