If a child has a headache described as migraine-like and also has a seizure, the nurse should have a high suspicion of:
a. ruptured cerebral aneurysm c. astrocytoma
b. arteriovenous malformation d. hydrocephalus
B
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A Incorrect. Signs of a ruptured cerebral aneurysm would result in symptoms similar to a stroke.
B Correct. If a child has a headache described as migraine-like and also has a seizure, the nurse should have a high suspicion of arteriovenous malformation. In children, a seizure is often the first sign of a neurological problem.
C Incorrect. An astrocytoma is a type of brain tumor with manifestations of seizures, increased ICP, visual changes, and hemiparesis.
D Incorrect. The nurse would not have a high suspicion of hydrocephalus.
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