Ch. 22 Neurologic/ Sensory disorder

A child diagnosed with a seizure disorder has been prescribed topiramate as part of the treatment regimen. The nurse is teaching the parents about the medication. Which statement by the parent requires intervention by the nurse?

"Taking this medication may cause our child to gain weight."

The nurse is discussing with a parent the difference between a breath-holding spell and a seizure. Which of the following would the nurse include as characteristic of a seizure? Select all that apply

Convulsive activity occurs. Crying is not typically noted.

During physical assessment of a 2-year-old child, the nurse suspects that the child may have a cataract in one eye based on assessment of which of the following?

absence of red reflex

The nurse is assessing the vision of 9-year-old boy. His vision appears normal on a vision screening test, although the nurse notices that he has to tilt his head occasionally as he is reading the chart. His mother tells the nurse that he has trouble reading and reports having a headache after doing his homework. Which condition should the nurse suspect in this boy?

astigmatism

The nurse is performing a neurologic assessment on a 7-month-old infant. Which task should the nurse perform last?

elicit gag reflex

The nurse is caring for a 2-year-old child with increased intracranial pressure (ICP). The nurse documents the above information. Based on these findings, the nurse would anticipate administering which medication?

midazolam

A nurse is assessing a 3-year-old child for possible bacterial meningitis. Which sign would indicate irritation of the meninges?

positive kernig sign

A nurse is caring for a baby admitted to the hospital with suspected abusive head trauma (shaken baby syndrome). Which assessment finding would confirm this suspicion?

retinal hemmorhages

A 12-year-old child has been prescribed phenytoin. What information should be included in discussion about this medication

use a soft toothbrush

The nurse is teaching a group of parents about Reye syndrome and how the disease progresses. Place the signs and symptoms in the order that they would appear from the first stage to the last.

vomiting disorientation coma fixed, dilated pupils seizures