What is a sign of increased intracranial pressure (ICP) in a 10-year-old child?
a. Headache
b. Bulging fontanel
c. Tachypnea
d. Increase in head circumference
A
Feedback
A Headaches are a clinical manifestation of increased ICP in children. A change in
the child's normal behavior pattern may be an important early sign of increased
ICP.
B This is a manifestation of increased ICP in infants. A 10-year-old child would
have a closed fontanel.
C A change in respiratory pattern is a late sign of increased ICP. Cheyne-Stokes
respiration may be evident. This refers to a pattern of increasing rate and depth
of respirations followed by a decreasing rate and depth with a pause of variable
length.
D By 10 years of age, cranial sutures have fused so that head circumference will
not increase in the presence of increased ICP.
You might also like to view...
A nurse is developing a plan of care for a client with advanced rheumatoid arthritis who is experiencing moderate pain in the knees and hips. The client also has some deformities that make walking and moving about difficult
The primary health care provider has prescribed diflunisal. Which nursing diagnosis would be most appropriate for this client? Select all that apply. A) Acute Pain B) Impaired Physical Mobility C) Ineffective Self Health Management D) Deficient Knowledge E) Imbalanced Nutrition: Less Than Body Requirements
A(n) _____ is a method of organizing and delivering care to patients and families to achieve desired outcomes
Fill in the blank(s) with correct word
The nurse is working in a long-term care facility. Which clues does the nurse note which suggests that the client is not hearing what the nurse said? Select all that apply
A) The client does not want to be social. B) The client responds inappropriately. C) The client asks for surrounding sounds be increased. D) The client nods the head and smiles. E) The client withdraws from activity.
A 50-year-old male client asks the nurse what signs he should look for with prostate cancer. How would the nurse respond?
A) "An early sign of prostate cancer is blood in the urine." B) "An early sign of prostate cancer is swelling of the testicles." C) "Early cancer of the prostate does not usually produce symptoms." D) "The first sign of prostate cancer is frequent urinary tract infections."