What is a sign of increased intracranial pressure (ICP) in a 10-year-old child?
Tachypnoea
Bulging fontanel
Headache
Increase in head circumference
The Correct Answer is C
A sign of increased intracranial pressure (ICP) in a 10-year-old child is a headache. Headache is a common symptom associated with increased pressure within the cranial cavity. It can be a result of various conditions that cause elevated intracranial pressure, such as brain tumours, intracranial haemorrhage, hydrocephalus, or brain trauma. The headache may be described as persistent, worsening, or accompanied by other symptoms such as nausea, vomiting, or changes in neurological status.
tachypnoea (rapid breathing), in (option A) is incorrect because it is not a specific sign of increased intracranial pressure. It can be seen in various conditions, including respiratory and cardiovascular disorders, anxiety, or physical exertion.
bulging fontanel in (option B) is incorrect because it, is more commonly observed in infants and is not typically seen in older children. The fontanelles (soft spots) on an infant's skull normally close by the age of 18-24 months.
an increase in head circumference in (option D) is incorrect because it, may be a sign of increased intracranial pressure in infants. However, in a 10-year-old child, the fontanelles are typically closed, and head circumference growth is not a reliable indicator of increased intracranial pressure
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Epispadias is a congenital condition in which the urethral opening is not located at the tip of the penis as is typical but rather along the ventral surface (underside) of the penis. In severe cases, the urethral opening may extend all the way to the bladder.
absence of a urethral opening in (option A) is incorrect because it, describes a condition called urethral agenesis or aplasia, where the urethral opening is completely absent. This is a different condition from epispadias.
a penis shorter than usual for age, in (option B) is incorrect because it is not specific to epispadias and could be caused by various factors unrelated to the condition.
a urethral opening along the dorsal surface (topside) of the penis in (option D) is incorrect because it, is a condition called hypospadias. Hypospadias is another congenital anomaly where the urethral opening is located on the underside or along the ventral surface of the penis, but it is not synonymous with epispadias.
Therefore, epispadias specifically refers to the urethral opening being situated along the ventral surface of the penis.
Correct Answer is C
Explanation
In the given scenario, the 6-year-old patient in skeletal traction is experiencing
pain, edema, and fever. These symptoms raise concerns about the possibility of an infection
at the site of traction. In such cases, the nurse should assess for warmth at the site of pain.
Increased warmth can indicate inflammation, which may be associated with infection. This
assessment finding would require further investigation and intervention, such as notifying the
healthcare provider and obtaining appropriate cultures or imaging studies.
Neurologic status in (Option A) is incorrect because assessing neurologic status, is important
but not the priority in this scenario. Neurologic status assessment is typically performed to
evaluate any neurovascular compromise resulting from the traction, but the presence of pain,
edema, and fever suggests a potential infection that requires immediate attention.
Range of motion of all extremities in (Option B) is incorrect because assessing the range of
motion of all extremities, is not directly relevant to the given symptoms and should not take
priority over assessing for warmth at the site of pain.
Blood pressure in (Option D) is incorrect because assessing blood pressure, is not directly
related to the symptoms of pain, edema, and fever in the context of skeletal traction. While
blood pressure is an essential vital sign, it does not provide specific information about the
potential infection at the site of pain in this situation.
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