SAS 35

A child with cerebral palsy has been fitted for braces and is beginning physical therapy to assist with ambulation. The parents ask why he needs the braces when he was crawling without any assistive devices. Select the nurse's best response. A. "The cerebral palsy has progressed, and he now needs more assistance to ambulate." B. "As your child grows, different muscle groups may need more assistance." C. "Most children need braces to help with ambulation." D. "We have found that when children with use braces, they are less likely to fall."

B.

An inflammation of brain tissue and, possibly, the meninges that can arise from protozoan, bacterial, fungal, or viral invasions: A. Reye Syndrome B. Encephalitis C. Sturge-Weber Syndrome D. Cerebral Palsy

B.

The nurse is caring for the client with increased intracranial pressure. The nurse would note which of the following trends in vital signs if the ICP is rising? A. Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure. B. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure. C. Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure. D. Decreasing temperature, increasing pulse, decreasing respirations, increasing blood pressure.

B.

It is an acute encephalopathy with accompanying fatty infiltration of the liver, heart, lungs, pancreas, and skeletal muscle that occurs in children from 1 to 18 years of age regardless of gender: A. Reye Syndrome B. Encephalitis C. Sturge-Weber Syndrome D. Cerebral Palsy

A.

Which diagnosis is related to the development of Reye's syndrome in conjunction with aspirin administration in the pediatric patient? A. Varicella B. Meningitis C. Encephalitis D. Strep throat

A

A child in the PICU with a head injury is comatose and unresponsive. The parent asks if he needs pain medication. Select the nurse's best response. A. "Pain medication is not necessary as he is unresponsive and cannot feel pain." B. "Pain medication may interfere with his ability to respond and may mask any signs of improvement." C. "Pain medication is necessary to make him comfortable." D. "Pain medication is necessary for comfort, but we use it cautiously as it increases the demand for oxygen."

C.

A child with Reye syndrome is described in the nurse's notes as follows: 1200—comatose with sluggish pupils; when stimulated, demonstrates decerebrate posturing. 1400—unchanged except that now demonstrates decorticate posturing when stimulated. The nurse concludes that the child's condition is: A. Worsening and progressing to a more advanced stage of Reye syndrome. B. Worsening, and the child may likely experience cardiac and respiratory failure. C. Improving and progressing to a less advanced stage of Reye syndrome. D. Improving as the child's posturing reflexes are similar.

C.

A disorder is limited to the ophthalmic branch of the fifth nerve, the lesion is usually confined to the upper aspect of the face. A. Reye Syndrome B. Encephalitis C. Sturge-Weber Syndrome D. Cerebral Palsy

C.

The nurse is caring for a 2-month-old infant who is at risk for cerebral palsy due to extreme low birth weight and prematurity. His parents ask why a speech therapist is involved in his care. Select the nurse's best response. A. "Your child is likely to have speech problems because of his early birth. Involving the speech therapist now will ensure vocalization at a developmentally appropriate age." B. "The speech therapist will help with tongue and jaw movements to assist with babbling." C. "The speech therapist will help with tongue and jaw movements to assist with feeding." D. "Many members of the health-care team are involved in your child's care so that we will know if there are any unmet needs."

C.

While assessing a 4-month-old infant, the nurse notices hyperpigmented nevi on the lower back. Which of the following is false regarding hyperpigmented nevi? A. Hyperpigmented nevi may be scattered B. Hyperpigmented nevi are frequently mistaken as bruises C. Hyperpigmented nevi fade over time D. Hyperpigmented nevi may be associated with Sturge-Weber syndrome E. Hyperpigmented nevi are most commonly found on dark skinned children

D.