Chapter 27, The Child with Cerebral Dysfunction Video Solutions, Wong’s Essentials of Pediatric Nursing

Problem 1

You are the nurse assigned to care for a child with a basilar skull fracture. Your most important nursing observation is change in level of consciousness (LOC). You will be highly alert for:
a. Alterations in vital signs that often appear before alterations in consciousness or focal neurologic signs
b. Bleeding from the ear, which is indicative of an anterior basal skull fracture
c. Seizures, which are relatively uncommon in children at the time of head injury
d. Changes in posturing, such as any signs of extension or flexion posturing, unusual response to stimuli, and random versus purposeful movement

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02:12

Problem 2

As the nurse assigned to a child diagnosed with bacterial meningitis, you know that:
a. The child will not need to be placed in isolation because antibiotics have been started.
b. Enteric precautions will remain in place for up to 48 hours.
c. Respiratory isolation will remain in place for 24 hours after antibiotics are started.
d. Due to headache, the child will want the head of the bed elevated with two pillows.

Ummatul Choudary

Numerade Educator

Problem 3

You are working with a pediatric nurse who has just transferred to the pediatric clinic. You are role-playing phone triage related to a child with a head injury. You ascertain that the nurse needs more teaching based on what response?
a. "After initial physical exam, if there was no loss of consciousness with the head injury, the child can be observed at home."
b. "If there is a language barrier, written instructions can be given, followed by discharge."
c. "Another physical exam should take place in 1 or 2 days."
d. "Parents should call the doctor if their child has any of these signs: blurred vision, walking unsteadily, or is hard to awaken."

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03:32

Problem 4

You are caring for a child with hydrocephalus who is postoperative from a shunt revision. Which assessment finding is your priority for increased intracranial pressure (ICP)?
a. Nausea and refusal to eat postoperatively
b. Complaint of a headache
c. Irritability and wanting to sleep
d. Decrease in heart rate over the last hour

Sulav Pokhrel

Numerade Educator

Problem 5

You are working with a family that brought their child into the pediatric clinic. The mother describes what may be a type of seizure. What subjective data will help you determine the type? Select all that apply.
a. The presence or absence of an aura
b. If the child appeared disoriented after the seizure
c. Presence of vomiting after the seizure
d. The duration of the seizure
e. If the seizure was related to certain foods or occurred after a certain activity

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