The nurse is preparing to admit a 5-year-old with an epidural hemorrhage. What clinical manifestations should the nurse expect to observe? (Select all that apply.)
a. Headache
b. Vomiting
c. Irritability
d. Cephalhematoma
e. Pallor with anemia
ANS: A, B, C
The classic clinical picture of an epidural hemorrhage is a lucid interval (momentary unconsciousness) followed by a normal period for several hours, and then lethargy or coma due to blood accumulation in the epidural space and compression of the brain. The child may be seen with varying degrees of impaired consciousness depending on the severity of the traumatic injury. Common symptoms in a child with no neurologic deficit are irritability, headache, and vomiting. In infants younger than 1 year of age, the most common symptoms are irritability, pallor with anemia, and cephalhematoma.
You might also like to view...
A patient has been treated in the hospital for an episode of acute pancreatitis The patient has acknowledged the role that his alcohol use played in the development of his health problem, but has not expressed specific plans for lifestyle changes after discharge. What is the nurse's most appropriate response?
A) Educate the patient about the link between alcohol use and pancreatitis. B) Ensure that the patient knows the importance of attending follow-up appointments. C) Refer the patient to social work or spiritual care. D) Encourage the patient to connect with a community-based support group.
A patient comes to the clinic for a follow-up appointment after being released from the hospital for angina. The nurse is discussing his medication, nitroglycerin
The nurse is correct to state that the principal way this medication relieves the pain of stable angina is by a. strengthening blood pressure. b. reducing cardiac oxygen demand. c. promoting vagal stimulation. d. increasing sympathetic stimulation to the heart.
A school of nursing learns that an outbreak of influenza has occurred at an organization that will affect the way the students arrive, prepare, and use personal protective equipment during clinical. Which approach should the instructor use to prepare the students for participating in clinical the next day?
A) Email B) Video podcast C) Twitter comment D) Public service announcement
An infant was born after a face presentation. When selecting a nursing diagnosis for the newborn, which body system does the nurse identify as a priority?
A) Respiratory B) Genitourinary C) Cardiovascular D) Gastrointestinal