The pediatric nurse is assigned to work with a child who has craniosynostosis. The nurse will most expect to find which of the following during the initial contact and assessment?
a. hydrocephalus c. signs of infection
b. skull deformity d. cyanosis
B
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A Incorrect. Increased intracranial pressure (ICP) is seen in children with more than one prematurely fused suture, but this does not necessarily result in hydrocephalus.
B Correct. The nurse will expect to find skull deformity in the child who has craniosynostosis. Craniosynostosis is the premature closure of the cranial sutures. When this occurs, bone growth will continue but in a direction parallel to the suture line, leading to compensatory overgrowth at the normal suture lines and skull deformity.
C Incorrect. Signs of infection would not be an expected finding prior to surgical correction.
D Incorrect. Cyanosis would not be an expected finding because there is not an excess of deoxygenated hemoglobin in the blood.
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Which assessment findings would the nurse interpret as suggesting a predisposition for inherited forms of cancer?
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The nurse is working with a child who has growth hormone deficiency and who will most likely have a diagnosis of delayed growth and development related to inadequate growth hormone secretion
Which of the following nursing diagnoses is the most likely additional diagnosis for this child? a. disturbed body image related to short stature b. at risk for injury related to inability to protect self c. imbalanced nutrition more than body requirements related to eating with peers d. impaired parenting related to lack of understanding of child's needs
Always give the patient a full pitcher of water on admission
True False