The nurse assigned to a 4-month-old hydrocephalic child anticipates that assessments of this child will reveal: (Select all that apply.)
a. Bulging fontanels
b. Widened cranial sutures
c. Strong muscle tone
d. Good appetite
e. Eyes protruding
A, B
Infants with hydrocephalus exhibit bulging fontanels, widened cranial sutures, a shiny scalp with dilated veins, and poor muscle tone. Appetite is poor, and there is frequent vomiting. The eyes are deviated downward (setting sun eyes).
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Which of these statements about the inflammatory process is TRUE?
a. Inflammation is always accompanied by purulent exudate. b. Inflammation is not necessarily the result of invading microorganisms. c. The intensity of the inflammatory process usually reflects the virulence of the pathogen. d. The process has a varying number of stages depending upon the degree of tissue injury.
A patient has just learned that all possible treatments for his disease have been exhausted, and it will likely claim his life within the next month. He is alert, has full control of his motor abilities, and is comfortable
He tells the nurse he cannot bear to leave his 11- and 13-year-old children when they are so young, that they seem so upset by his condition they change the topic when he brings it up, that he does not know how to talk with them, and yet he has so many things he has to say to them while there is still time. Which option would be most helpful for the nurse to endorse? a. Writing down his feelings and thoughts in a journal b. Talking with a minister, priest, or hospice social worker c. Telling the children that there is no time, they must face this d. Praying for guidance and strength to deal with this challenge
The Joint Commission now requires which of the following to be documented in the client record?
a. evidence of informed consent to participate in the plan of care b. the process by which the plan of care is developed c. an individualized plan of care for the client d. the number of health care professionals who participated in development of the care plan
A group of nursing students are reviewing information related to seizures that occur in infants and children. The students demonstrate a need for additional review when they identify which type as common in neonates?
A) Tonic B) Focal clonic C) Multifocal clonic D) Myoclonic