SATA Peds neuro & SCI

a 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago. nursing care for this child includes which actions A. monitoring and maintaining systemic blood pressure B. administering corticosteroids C. minimizing environmental stimuli D. discussing long-term care issues with the family E. monitoring for respiratory complications

A. monitoring and maintaining systemic blood pressure B. administering corticosteroids E. monitoring for respiratory complications

A 15-year-old is admitted to the intensive care unit (ICU) with a spinal cord injury. The most appropriate nursing interventions for this adolescent are A. monitoring neurologic status B. administering corticosteroids C. monitoring for respiratory complications D. discussing long-term care issues with the family E. monitoring and maintaining hemodynamic status

A. monitoring neurologic status B. administering corticosteroids C. monitoring for respiratory complications E. monitoring and maintaining hemodynamic status

the nurse is monitoring an infant for sings of increased intracranial pressure (ICP). which are late signs of increased intracranial pressure (ICP) in an infant A. tachycardia B. alteration in pupil size and reactivity C. increased motor response D. extension or flexion posturing E. Cheyne-Stokes respirations

B. alteration in pupil size and reactivity D. extension or flexion posturing E. Cheyne-stokes respirations

which should the nurse expect to find in the cerebrospinal fluid (CSF) results with a child with Guillan-barre syndrome (GBS) A. decreased protein concentration B. normal glucose C. fewer than 10 white blood cells D. elevated red blood cell (RBC) count

B. normal glucose C. fewer than 10 white blood cells

The nurse is caring for a neonate with suspected meningitis. which clinical manifestations should the nurse prepare to assess if meningitis is confirmed A. headache B. photophobia C. bulging anterior fontanel D. weak cry E. poor muscle tone

C. bulging anterior fontanel D. weak cry E. poor muscle tone

Which are clinical manifestations of increased intracranial pressure (ICP) in infants? (Select all that apply.) A. low-pitched cry B. sunken fontanel C. diplopia and blurred vision D. irritability E. distended scalp veins F. increased blood pressure

D. irritability E. distended scalp veins

The nurse is conducting discharge teaching to parents of a preschool child with melomeningocele, repaired at birth, being discharged from the hospital after a urinary tract infection (UTI). which should the nurse include in the discharge instructions related to management of the Childs genitourinary function A. continue to perform the clean intermittent catheterizations (CIC) at home B. administer the oxybutynin chloride as prescribed C. reduce fluid intake in the afternoon and evening hours D. monitor for signs of recurrent UTI E. administer furosemide as prescribed

A. continue to perform the clean intermittent catheterizations (CIC) at home B. administer the oxybutynin chloride as prescribed D. monitor for signs of recurrent UTI

an infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt. Which interventions should be included in the child's postoperative care? A. observe closely for signs of infection B. pump the shunt reservoir to maintain patency C. administer sedation to decrease irritability D. maintain Trendelenburg position to decrease pressure on the shunt E. maintain an accurate record of intake and output F. monitor for abdominal distention

A. observe closely for signs of infection E. maintain an accurate record of intake and output F. monitor for abdominal distention

The nurse in the neonatal intensive care unit is caring for an infant with myelomeningocele scheduled for surgical repair in the morning. Which early signs of infection should the nurse monitor on this infant (Select all that apply)? A. temperature instability B. irritability C. lethargy D. bradycardia E. hypertension

A. temperature instability B. irritability C. lethargy

Cerebral palsy (CP) is suspected in a child, and the parents ask the nurse about the potential warning signs of CP. The nurse should provide which information? A. the infant's arms or legs are stiff or rigid B. a high risk factor for CP is very low birth weight C. by 8 months of age, the infant can sit without support D. the infant has strong head control but a limp body posture E. the infant has feeding difficulties, such as poor sucking and swallowing F. if the infant is able to crawl, only one side is used to propel himself or herself

A. the infant's arms or legs are stiff or rigid B. a high risk factor for CP is very low brith weight E. the infant has feeding difficulties, such as poor sucking and swallowing F. if the infant is able to crawl, only one side is used to propel himself or herself

The nurse is evaluating the laboratory results on cerebral spinal fluid (CSF) from a 3 year old child with bacterial meningitis. which findings confirm bacterial meningitis A. elevated white blood cell (WBC) count B. decreased glucose C. normal protein D. elevated red blood cell (RBC) count

A. elevated white blood cell (WBC) count B. decreased glucose

The nurse is assigned to care for a child with a brain injury who has a temporal lobe herniation and increasing intracranial pressure. Which signs should the nurse identify as indicative of this type of injury? A. flaccid paralysis B. pupil response to light C. ipsilateral pupil dilation D. compression of the sixth cranial nerve E. shifting of the temporal lobe laterally across the tentorial notch

A. flaccid paralysis C. ipsilateral pupil dilation E. shifting of the temporal lobe laterally across the tentorial notch

which assessment findings should the nurse note in a school-age child with Duchenne muscular dystrophy (DMD) A. lordosis B. Gower sign C. kyphosis D. scoliosis E. waddling gait

A. lordosis B. Gower sign E. waddling gait

In working with parents who have a child diagnosed with cerebral palsy, which therapeutic management goals should be included in the plan of care? A. limit socialization to similar type affected children B. provide educational opportunities that are individualized to the Childs needs and abilities C. to help support and maintain location, communication, and self-help skills D. to correct body image perception E. to integrate motor function

B. provide education opportunities that are individualized to the Childs needs and abilities C. to help support and maintain location, communication, and self-help skills E. to integrate motor function