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ATI: RN Nursing care of Children Exam Questions With 100% Verified Answers

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ATI: RN Nursing care of Children Exam Questions With 100% Verified Answers Meningitis - answeran inflammation of the CSF and meninges (which are connective tissues that cover brain and spinal cord). Reye Syndrome - answerlife-threatening disorder that involved acute encephalopathy and fatty ch...

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  • September 27, 2024
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  • ATI: RN Nursing care of Children
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ATI: RN Nursing care of Children Exam
Questions With 100% Verified Answers


Meningitis - answer✔an inflammation of the CSF and meninges (which are connective tissues

that cover brain and spinal cord).


Reye Syndrome - answer✔life-threatening disorder that involved acute encephalopathy and fatty

changes of the liver.


Viral (aseptic) meningitis - answer✔usually requires only supportive care for recovery


Bacterial (septic) meningitis - answer✔contagious infection; prognosis depends on how quickly

care is initiated.


bacterial meningitis risk factors - answer✔-infections caused by bacterial agents

(meningococcoal), streptococcus pneumoniae, Hib B, e.coli.

-injuries that provide direct access to CSF

-crowded living conditions


viral meningitis risk factors - answer✔viral illnesses such as:


- mumps

-herpes simplex virus

, ©BRAINBARTER 2024/2025


-arbovirus

-adenovirus

-cytomegalovirus


Expected findings of meningitis - answer✔Photophobia


Nausea

Irritability

Headache


newborn findings of meningitis - answer✔-no illness present at birth


-poor muscle tone,weak cry, poor suck, refuses feeding, and V/D.

-bulging fontanels are late sign.


3 mth to 2 years findings of meningitis - answer✔seizures with high-pitched cry


fever and irritability

bulging fontanels

possible nuchal rigidity

poor feeding


2 years through adolescence physical assessment of meningitis - answer✔seizures (initial sign)


Positive Brudzinski's sign

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Positive Kernig's sign

Nuchal rigidity

fever/chills

headache

vomiting

chronic draining ear (with pneumococcal infection)

Petechiae or purpuric-type rash (with meningococcal infection)


Brudzinski's sign - answer✔pain with resistance and involuntary flex of hip/knee when neck is

flexed to chest when lying supine


Kernig's sign - answer✔a diagnostic sign for meningitis marked by the person's inability to

extend the leg completely when the thigh is flexed upon the abdomen and the person is sitting or

lying down


Lab tests for viral meningitis (CSF analysis) - answer✔clear color


increase WBC

normal or elevated protein content

normal glucose content

negative gram stain


Lab tests for bacterial meningitis (CSF analysis) - answer✔cloudy color

, ©BRAINBARTER 2024/2025


increase WBC

increase protein content

decrease glucose content

positive gram stain


Nursing actions for lumbar puncture - answer✔empty bladder


side-lying position

monitor for bleeding,hematoma, infection


medications to treat meningitis - answer✔Antibiotic


corticosteroid: dexamethasone

Analgesic (acetaminophen with codeine)


dexamethasone - answer✔not indicated for viral meningitis


-assists with initial management of increased ICP, but not effective for long-term complications.

-reduces neurological complications whose infections caused by Hib.


complications of meningitis - answer✔increase intracranial pressure; could lead to neurological

dysfunction.


Signs of increased ICP in infants - answer✔-irritability


-increasing head circumference

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