ch27 pedi

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Questions and Answers

Which statement reflects an appropriate understanding of the anatomy and physiology of the nervous system?

  • The brain is a network of nerve cells called axons.
  • The central nervous system consists of the brain only.
  • The peripheral nervous system consists of the cranial nerves and the spinal nerves. (correct)
  • Gray matter consists of axons that are coated with myelin, which allows nerve impulses to travel rapidly.

Which area of the brain is responsible for sensory coordination, interpretation, and taste?

  • Parietal lobe (correct)
  • Frontal lobe
  • Thalamus
  • Hypothalamus

Which teaching point should be included in the plan of care for a school-aged patient to decrease the risk of traumatic brain injury (TBI)?

  • Using an appropriate forward-facing car seat
  • Using head support devices when placed in a car seat
  • Wearing a helmet when riding a bicycle (correct)
  • Teaching appropriate technique for diving

The physician has recommended the ketogenic diet for a child with poorly controlled seizures, despite multiple anticonvulsant therapies. Which of the following is NOT recommended for this type of diet?

<p>Garlic bread with butter (C)</p> Signup and view all the answers

A child with a history of seizures arrives in the emergency department (ED) in status epilepticus. Which is the priority nursing action?

<p>Maintaining a patent airway (B)</p> Signup and view all the answers

Which nursing action is appropriate when providing care to a toddler-aged patient whose lead level is 8 mcg/dL?

<p>Following up as needed during future appointments (B)</p> Signup and view all the answers

Which action by the nurse is most appropriate for a child who presents with a history of migraine headaches?

<p>Determining when the child’s last eye examination was conducted (B)</p> Signup and view all the answers

The nurse is completing an assessment of a 2-month-old infant. Which reflex is being assessed when the area around the infant’s mouth is touched?

<p>Sucking (B)</p> Signup and view all the answers

The nurse is providing care to a school-aged child who was treated with aspirin during a viral infection. Which data should the LPN report to the charge nurse?

<p>Lethargy (B)</p> Signup and view all the answers

A 9-month-old has been diagnosed with dyskinetic cerebral palsy (CP). Which clinical manifestation does the nurse expect to see in the baby?

<p>Involuntary wormlike movements (D)</p> Signup and view all the answers

A pediatric patient is admitted to the ED with a traumatic brain injury (TBI) that caused a loss of consciousness. The last set of vital signs showed a heart rate of 48 bpm, a BP of 148/74 mm Hg, and a respiratory rate of 12 breaths per minute and irregular. Which does the nurse suspect?

<p>Increased intracranial pressure (D)</p> Signup and view all the answers

A 10-year-old child presents to the school nurse with a migraine. Which information collected by the nurse is MOST important in determining the type of headache this child is experiencing?

<p>Health history, physical examination, associated symptoms (B)</p> Signup and view all the answers

A teacher states to the school nurse, “I have a student who often just stares at me for 15 seconds after being asked a question; then the student blinks and asks me to repeat the question. Should I be concerned?” Which statement should the nurse include in the response to the teacher?

<p>The child is experiencing absence seizures. (C)</p> Signup and view all the answers

All of the following tests are used in diagnosing childhood seizures EXCEPT which diagnostic study?

<p>Chest CT (C)</p> Signup and view all the answers

Infants are born with some intact sensory organs and some that mature over time. Which of the following senses is NOT considered intact at birth?

<p>Visual acuity (A)</p> Signup and view all the answers

When care is provided to an infant, which clinical manifestation supports the diagnosis of meningococcal meningitis?

<p>Purplish rash or petechial rash (C)</p> Signup and view all the answers

An infant is admitted with an enlarged head circumference, bulging fontanelles, and sunset eyes. Which neurological condition does the nurse suspect?

<p>Hydrocephalus (D)</p> Signup and view all the answers

Which nursing action is appropriate to assist in the assessment of CN VI?

<p>Asking the patient to follow finger commands to move the eyes left and right (B)</p> Signup and view all the answers

A 6-year-old child presents to the ED with belly pain and bluish discoloration around the gums. The parents report that the child has been easily distracted and has been complaining of a metallic taste for the past week. The nurse also learns that the family is in the process of renovating their home. What should the nurse immediately suspect is causing the child’s symptoms?

<p>Lead poisoning (B)</p> Signup and view all the answers

Upon entering a patient’s room, the nurse witnesses a brief episode of sudden, spasmodic movement of the child’s entire body. Which term best describes the type of seizure that this child is experiencing?

<p>Myoclonic seizure (D)</p> Signup and view all the answers

The nurse is planning a teaching session for the parents of a child who has been diagnosed with simple partial seizures. Which characteristics of this type of seizure should the nurse include in the session? (Select all that apply.)

<p>This type of seizure lasts less than 30 seconds. (A), Pain or numbness may occur. (B), The patient remains conscious with no postictal period. (@)</p> Signup and view all the answers

Which information should the nurse collect during the health history portion of the comprehensive neurological assessment for a pediatric patient? (Select all that apply.)

<p>Accidents (A), Family history of seizures (C), Exposure to perinatal infection (D)</p> Signup and view all the answers

The nurse is putting together an educational program at the community health center on the prevention of unintentional injuries in children. Which pediatric patient should the nurse provide focused teaching regarding near drowning (Select all that apply.)

<p>Toddlers (C), Late adolescence (D)</p> Signup and view all the answers

The nurse is performing an initial assessment of a pediatric patient with cerebral palsy (CP). What does the nurse expect to see when completing the patient’s assessment? (Select all that apply.)

<p>Tight muscles that do not stretch (B), The presence of tremors (D), “Scissors” movements of arms and legs (@)</p> Signup and view all the answers

The parents of an infant visit the ED with complaints that their son is experiencing a high fever and a lack of interest in breastfeeding. Upon examination, the nurse records the following symptoms of meningitis: nuchal rigidity, a bulging fontanel, and photophobia. Which tests does the nurse explain to the parents are necessary to confirm a diagnosis of meningitis? (Select all that apply.)

<p>Blood cultures (B), Lumbar puncture (D), Kernig’s sign (A)</p> Signup and view all the answers

Flashcards

法国的首都(示例闪卡)

巴黎

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