1. A nurse is caring for a client who has suspected meningitis and a decreased
level of consciousness.Which of the following actions by the nurse is
appropriate?
A. Place the client on NPO status.
2. A nurse is caring for a 4-month-old infant who has meningitis. Which of
the following findings is associated with this diagnosis?
D. High-pitched cry
3. A nurse is reviewing cerebrospinal fluid analysis for a client who has
suspected meningitis. Which ofthe following results indicate viral meningitis?
(Select all that apply.)
A. Negative gram stain
B. Normal glucose content
E. Normal protein content
4. A nurse is developing an in-service about viral and bacterial meningitis.
The nurse should include that the introduction of which of the following
immunizations decreased the incidence of bacterial meningitis in children?
(Select all that apply.)
B. Pneumococcal conjugate vaccine (PCV)
D. Haemophilus influenzae type B (Hib) vaccine
5. A nurse is caring for a school-age client who possibly has Reye syndrome.
Which of the following is arisk factor for developing Reye syndrome?
C. Recent episode of gastroenteritis
Chapter 13 seizures
1. A nurse is caring for a child who has absence seizures. Which of the
following findings can the nurse expect? (Select all that apply.)
A. Loss of consciousness
B. Appearance of daydreaming
C. Dropping held
objectsA B C
2. A nurse is caring for a child who just experienced a generalized seizure.
Which of the following is the priority action for the nurse to take?
A. Maintain in a side-lying position.
3. A nurse is providing teaching to the parent of a child who is to have an
electroencephalogram (EEG).
Which of the following should be included in the teaching?
A. "Decaffeinated beverages should offered on the morning of the procedure."
4. A nurse is teaching a group of parents about the risk factors for seizures.
Which of the followingshould be included in the teaching? (Select all that
apply.)
A. Febrile episodes
B. Hypoglycemia
C. Sodium imbalances
5. A nurse is reviewing treatment options with the parent of a child who
has worsening seizures.Which of the following should be included in the
discussion? (Select all that apply.)
A. Vagal nerve stimulator
B. Additional antiepileptic medications
C. Corpus callosotomy
D. Focal resection
Chapter 14 Head Injury
1. A nurse is caring for a child who was admitted to the emergency
department after a motor-vehicle crash. The child is unresponsive, has
spontaneous respirations of 22/min, and has a laceration on the forehead that
is bleeding. Which of the following is the priority nursing action at this time?
A. Stabilize the child’s neck.
2. A nurse is caring for an adolescent who has sustained a closed head injury.
Which of the following are clinical manifestations of increased intracranial
pressure (ICP)? (Select all that apply.)
A. Report of headache
B. Alteration in pupillary response
D. Increased sleeping
3. A nurse is caring for a child who has increased intracranial pressure.
Which of the following areappropriate actions by the nurse? (Select all
that apply.)
B. Maintain a quiet environment.
D. Administer a stool softener.
E. Maintain body alignment
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