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Scrutiny Aplication Form
❤8
A nurse in the pediatric clinic is assessing an infant who had a revision of a ventriculoperitoneal shunt. What clinical finding alerts the nurse that intracranial pressure has increased?
Anonymous Quiz
11%
Increased pulse rate
19%
Hypoactive reflexes
24%
Decreased blood pressure
45%
Tension of the anterior fontanel
For how long should a nurse maintain isolation of a child with bacterial meningitis?
Anonymous Quiz
6%
For 12 hours after admission
25%
Until the cultures are negative
27%
Until antibiotic therapy is completed
42%
For 48 hours after antibiotic therapy begins
A nurse is caring for a child with meningococcal meningitis.What clinical finding does the nurse expect when performing a physical assessment?
Anonymous Quiz
6%
Severe glossitis
33%
Low-grade fever
33%
Purpuric skin rash
28%
Tremors of the extremities
What does a nurse determine is the most serious complication of meningitis in young children?
Anonymous Quiz
45%
Communicating hydrocephalus
15%
Blindness
37%
Peripheral circulatory
2%
None
❤2
The parents of an infant who just had a ventriculoperitoneal shunt inserted for hydrocephalus are concerned about the prognosis. What information should the nurse give the parents?
Anonymous Quiz
6%
The prognosis is excellent and the valve is permanent.
42%
The shunt may need to be revised as the child grows older.
27%
If any brain damage has occurred, it is irreversible even after the first year of life.
25%
Hydrocephalus usually is self-limiting by 2 years of age, and then the shunt is removed.
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❤4
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1.2 MB
RML NURSING OFFICER NEW NOTIFICATION OUT
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❤1
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❤23😎2👍1
An infant is diagnosed with hydrocephalus. Which assessment alerts the nurse to suspect increasing intracranial pressure?
Anonymous Quiz
20%
Sunken eyes
45%
Projectile vomiting
23%
Depressed fontanels
12%
Narrowing pulse pressure
An infant born with hydrocephalus is to be discharged after insertion of a ventriculoperitoneal shunt. Which common complication of this type of surgery should the nurse explain to the parents to prepare them for their child's discharge?
Anonymous Quiz
6%
Violent involuntary muscle contractions
25%
Eyes with sclerae visible above the irises
55%
Excessive fluid accumulation in the abdomen
14%
Fever accompanied by decreased responsiveness
When a developmental appraisal is performed on @ 6-month-old infant, which observation is most important to the nurse in light of a diagnosis of hydrocephalus?
Anonymous Quiz
29%
Head lag
30%
Positive Babinski reflex
35%
Inability to sitvsunsupported
5%
Absence of the grasp reflex
An infant who was born with a meningomyelocele develops hydrocephalus. A ventriculoperitoneal shunt is inserted. What nursing intervention is essential in this infant's care during the first 24 hours after surgery?
Anonymous Quiz
9%
Placing in high-Fowler position
24%
Administering the prescribed sedative
19%
Positioning on the same side as the shunt
48%
Monitoring for increasing intracranial pressure
❤2
The parents of an infant who just had a ventriculoperitoneal shunt inserted for hydrocephalus are concerned about the prognosis. What information should the nurse give the parents?
Anonymous Quiz
8%
The prognosis is excellent and the valve is permanent.
42%
The shunt may need to be revised as the child grows older.
28%
If any brain damage has occurred, it is irreversible even after the first year of life.
22%
Hydrocephalus usually is self-limiting by 2 years of age, and then the shunt is removed.