The nurse is monitoring a 7-year-old child post-surgical resection of a supratentorial (cerebral) brain tumor. Which vital sign finding indicates Cushing's triad?

Increased temperature, tachycardia, tachypnea

Decreased temperature, bradycardia, bradypnea

Bradycardia, high blood pressure, irregular respirations

Bradycardia, hypotension, tachypnea

Answer and Explanation

The Correct Answer is C

A. Increased temperature, tachycardia, tachypnea is not consistent with Cushing's triad. These signs generally reflect an infection, fever, or a stress response, and are not indicative of increased intracranial pressure (ICP) or brain herniation.

B. Decreased temperature, bradycardia, bradypnea is incorrect. While bradycardia is a component of Cushing's triad, decreased temperature and bradypnea are not part of this syndrome. The signs of Cushing's triad typically include increased blood pressure, not decreased temperature.

C. Bradycardia, high blood pressure, irregular respirations is correct. These are the hallmark signs of Cushing's triad, which indicate a significant increase in intracranial pressure. Bradycardia occurs as a result of elevated pressure on the brainstem, high blood pressure develops as a compensatory mechanism to maintain perfusion, and irregular respirations reflect brainstem dysfunction.

D. Bradycardia, hypotension, tachypnea is incorrect. Hypotension is not part of Cushing's triad. Instead, high blood pressure is typically present in this condition due to the body's compensatory response to increased ICP.

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Correct Answer is ["A","C","D"]

Explanation

A. Hemophilia A is a result of insufficient or absent factor VIII is correct. Hemophilia A is caused by a deficiency or absence of clotting factor VIII, which impairs the ability of blood to clot properly.

B. Von Willebrand disease is a disorder that occurs because of excess production of von Willebrand Factor is incorrect. Von Willebrand disease is actually caused by a deficiency or dysfunction of von Willebrand Factor, which is necessary for platelet adhesion and clotting.

C. Hemophilia B results from insufficient or absent factor IX is correct. Hemophilia B is caused by a deficiency of clotting factor IX, similar to hemophilia A, but involves a different clotting factor.

D. Von Willebrand disease is a disorder that occurs because of absent or insufficient von Willebrand Factor is correct. This disorder involves a deficiency or dysfunction of von Willebrand Factor, which leads to impaired clotting and easy bleeding.

E. Hemophilia A is a result of insufficient or absent fibrinogen is incorrect. Hemophilia A is caused by a deficiency of factor VIII, not fibrinogen, which is involved in the final steps of the clotting cascade.

A. Has your child had a fever? B. Did your child have an aura prior to a seizure? C. Has your child had two or more seizures, in the last 1 year? D. How long did your child's seizure last?

Correct Answer is B

Explanation

A. Has your child had a fever? While fever can be associated with febrile seizures, it is not a question used to screen for epilepsy. Febrile seizures are typically isolated events in young children and are not considered part of chronic epilepsy.

B. Did your child have an aura prior to a seizure? This is an important question for assessing epilepsy, especially focal seizures, as many individuals with epilepsy experience an aura (a warning sign) before a seizure. The presence or absence of an aura helps in classifying the type of seizure and can be useful in diagnosis.

C. Has your child had two or more seizures, in the last 1 year? This is not a screening question for epilepsy, but it would be relevant if epilepsy has already been diagnosed. Two or more seizures within a year can indicate a seizure disorder, but asking if the child has had multiple seizures would be more appropriate once epilepsy is suspected.

D. How long did your child's seizure last? The duration of a seizure is important to note during an episode, but it is not a question used during initial screening. The nurse would focus more on whether seizures occur, how they manifest, and if there are any warning signs (like an aura) prior to the event.

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The nurse is monitoring a 7-year-old child post-surgical resection of a supratentorial (cerebral) brain tumor. Which vital sign finding indicates Cushing's triad?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a family about bleeding disorders while they await the results of their child's laboratory testing. Which of the following statements accurately describes the differences in the causes of hemophilia A, hemophilia B, and von Willebrand disease? (Select All that Apply.)

Correct Answer is ["A","C","D"]

Explanation

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Correct Answer is B

Explanation

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