PEDS Ch. 23: Neurological and Sensory Disorders

The nurse is performing discharge teaching with the parents of a 3-month-old infant with deformational plagiocephaly (DP). Which statement by the parents requires further follow-up by the nurse?

"We do not have a bassinet, so we will use a car seat."

A nurse is providing postoperative care for a newborn diagnosed with hydrocephalus. Which intervention should the nurse include in the plan of care?

Monitor for signs of peritonitis.

A nurse has received the above hand-off report for a client hospitalized with blunt head trauma following a motor vehicle accident. What is the nurse's priority in providing care for the client?

Observe for behavioral changes.

To give eardrops to a 4-year-old child, what would be the best technique to use?

Pull the pinna of the ear up and back.

The nurse is preparing a care plan for a child who has a seizure disorder. The child experiences tonic-clonic seizures. Which nursing diagnosis will the nurse identify as having the highest priority?

Risk for injury

A child is brought to the emergency department and is experiencing status epilepticus. The nurse would expect to administer which treatment as first-line therapy?

lorazepam

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

Which of the following would a nurse assess in a child with pneumococcal meningitis?

nuchal rigidity

The parents of a 17-year-old adolescent diagnosed with bacterial meningitis tell the nurse, "We just do not understand how this could have happened. Our adolescent has always been healthy and just received a booster vaccine last year." How should the nurse respond?

"I understand your frustration. Unfortunately, immunizations are not 100% effective in preventing the infection."