Neurologic and Cognitive Function Quiz: Exam 4
When assessing a toddler with Autism Spectrum Disorder (ASD), what characteristic findings or behaviors should the nurse expect? Select all that apply The desire to hug the nurse Inability to maintain eye contact Enjoys climbing on stairs and furniture Laughing when pulse is taken Flat, blank facial expression
Inability to maintain eye contact, laughing when pulse is taken, flat; blank facial expression
After closure of a newborn's myelomeningocele, what essential nursing intervention must be included in the plan of care? Limiting leg movement Decreasing environmental stimuli Measuring head circumference daily Monitoring for serous drainage from the nares
Measuring head circumference daily
A nurse is caring for an infant who has just undergone myelomeningocele repair. What should the nursing plan of care include? Monitoring for cerebrospinal fluid leakage Applying sterile moist dressings to the incision Maintaining a supine position Teaching clean catheterizations to parents
Monitoring for cerebrospinal fluid leakage
Which action should the nurse take when providing postoperative nursing care to a child after insertion of a ventriculoperitoneal shunt? Monitoring for increased temperature. Check the urine for glucose and protein. Test cerebrospinal fluid leakage for protein. Administer narcotics for pain control.
Monitoring for increased temperature.
An infant with hydrocephalus has a ventriculoperitoneal shunt surgically inserted. What nursing care is essential during the first 24 hours after this procedure? Placing the infant in a high Fowler position Positioning the infant on the side that has the shunt Monitoring the infant for increasing intracranial pressure Medicating the infant for pain
Monitoring the infant for increasing intracranial pressure
While in the playroom a school-aged child exhibits twitching of the right arm and leg that almost immediately progresses to a generalized tonic-clonic seizure with clenched jaws. What is the best action for the nurse to take after moving the child to the floor? Inserting a plastic airway into the child's mouth Moving objects away from the child Positioning a large pillow under the child's head Taking the other children to their rooms
Moving objects away from the child
An infant with a myelomeningocele is admitted to the pediatric intensive care unit. While the infant is awaiting surgical correction of the defect, what is the most appropriate nursing intervention? Using disposable diapers Placing the infant in the prone position Performing neurologic checks above the site of the lesion Washing the area below the defect with a nontoxic antiseptic
Placing the infant in the prone position
A nurse is concerned about helping the parents of an infant with cerebral palsy set long-term goals for the family. What is most important to understand when setting long-term goals? Unknown extent of the disability requires continual adjustments. Diminished immune responses require protection from infection. Cognitive impairments require special education. Progressive deterioration requires future institutionalization.
Unknown extent of the disability requires continual adjustments.
A ventroperitoneal shunt is inserted in a 4-month-old infant with hydrocephalus. Which signs of shunt failure should the nurse teach the parents during preparations for the infant's discharge? Select all that apply. Vomiting Sunken eyeballs Abdominal distention Dehydration Distended fontanels
Vomiting, Distended fontanels
A mother whose infant was found to have cerebral palsy at 6 months of age asks why she was not told that her baby had cerebral palsy when the infant was born. How should the nurse respond? "Until there's control of voluntary movement, a diagnosis can't be confirmed." "The neurological lesions changed as your baby matured." "Joint deformities don't appear until after 6 months of age." "The staff members didn't want to alarm you until it was necessary."
"Until there's control of voluntary movement, a diagnosis can't be confirmed."