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","E"]

Explanation

A. Most children with febrile seizures do not require seizure medicine is correct. Febrile seizures are typically self-limiting and do not require daily anticonvulsant therapy. Most children outgrow them.
B. My child's 4-year-old sibling is also at high risk for febrile seizures is incorrect. Febrile seizures most commonly occur in children between 6 months and 5 years old, so the 4-year-old sibling is not necessarily at high risk.
C. I will give my child acetaminophen when she has a fever to prevent her temperature from rising rapidly is correct. While acetaminophen may help lower fever, it should be used cautiously and only to prevent fever from becoming very high quickly.
D. My child will now take anticonvulsants every day to prevent seizures is incorrect. Anticonvulsants are generally not needed for febrile seizures unless there is a specific medical indication, such as recurrent seizures not related to fever.
E. My child could have another febrile seizure is correct. Children who have had a febrile seizure are at an increased risk of experiencing another one, especially if they continue to have fevers.

A. They may believe that death is punishment for bad behavior. B. They may believe that death is temporary or reversible. C. They may have a fear of death and view it as something to be avoided. D. They understand death as a natural part of the life cycle. E. They may believe that death is caused by their thoughts. F. They have a concrete understanding of death as a permanent cessation of life.

Correct Answer is ["A","B","E"]

Explanation

A. They may believe that death is punishment for bad behavior. Preschool-aged children may have a limited understanding of death and may see it as a form of punishment for wrongdoing. They may not fully comprehend that death is a natural event.

B. They may believe that death is temporary or reversible. At this age, children tend to have magical thinking and may believe that the deceased person can come back to life or that they will return after a period of time.

E. They may believe that death is caused by their thoughts. Preschoolers often struggle with the concept of causality and may believe that their thoughts or wishes could cause something to happen, including death.

C. They may have a fear of death and view it as something to be avoided. While some preschoolers may fear death, this is more common in older children or adolescents who begin to grasp the permanency of death.

D. They understand death as a natural part of the life cycle. Preschool children typically do not have a fully developed understanding of death as part of the life cycle; they may not recognize its natural inevitability.

F. They have a concrete understanding of death as a permanent cessation of life. A concrete understanding of death is usually not achieved until later childhood (around 7-9 years of age) when children start to understand the permanence and finality of death.

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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

The nurse is providing discharge teaching to the parents of a toddler who experienced a febrile seizure. The nurse knows that the parents understand the teaching when the parents make which statement(s)? (Select All that Apply.)

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

Explanation

How do preschool-aged children typically understand death? (Select All that Apply.)

Correct Answer is ["A","B","E"]

Explanation

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