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."