The nurse has documented that a child's level of consciousness is
obtunded. Which describes this level of consciousness?
A. Slow response to vigorous and repeated stimulation
B. Impaired decision making
C. Arousable with stimulation
D. Confusion regarding time and place
C. Arousable with stimulation
Which statement best describes a subdural hematoma?
A. Bleeding occurs between the dura and the skull
,B. Bleeding occurs between the dura and the cerebrum
C. Bleeding generally arterial, and brain compression occurs rapidly
D. The hematoma commonly occurs in the parietotemporal region.
B. Bleeding occurs between the dura and the cerebrum
An appropriate nursing intervention when caring for an unconscious
child should be to:
A. Change the child's position infrequently to minimize the chance of
ICP
B. Avoid using narcotics or sedatives to provide comfort and pain relief
C. Monitor fluid I&O carefully to avoid fluid overload and cerebral
edema
D. Give tepid sponge baths to reduce fever because antipyretics are
contraindicated
C. Monitor fluid I&O carefully to avoid fluid overload and cerebral
edema
When taking the history of a child hospitalized with Reye syndrome,
the nurse is not surprised that a week ago the child:
A. had measles
B. had varicella
, C. had meningitis
D. had hepatitis
B. had varicella
A child has no seizures for 2 years. A father asks the nurse how much
longer the child will need to take medication:
A. Medication can be discontinued at this time
B. The child will need to take the drugs for 5 years after the last seizure
C. A stepwise approach will be used to reduce the dosage gradually
D. Seizure disorders are lifelong problem. Medications cannot be
discontinued
C. A stepwise approach will be used to reduce the dosage gradually
The most common clinical manifestation of brain tumors in children is:
A. Irritability
B. Seizures
C. Fever and poor fine motor control
D. Headaches and vomiting
D. Headaches and vomiting
The nurse should recommend medical attention if a child with a slight
head injury experiences:
A. Sleepiness
B. Confusion or abnormal behavior
C. Headache, even if slight
D. Vomiting, even once
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