Which of the following signs and symptoms will the nurse most ...

[ahriuashd]

Which of the following signs and symptoms will the nurse most likely find then assessing an infant with Arnold-Chiari malformation?
 
  a. difficulty sleeping, hypervigilant, and an arching of the back
  b. weakness of the leg muscles, loss of sensation in the legs, and restlessness
  c. difficulty swallowing, diminished or absent gag reflex, and respiratory distress
  d. paradoxical irritability, diarrhea, and vomiting

Question 2

When working with a child in isolation, the nurse knows that smiling while wearing a mask:
 
  a. is unnecessary, as the child cannot see the smile
  b. can be seen in the actions of the eyes and the area around the eyes
  c. makes the nurse feel better even if the child cannot tell
  d. is not good, as it allows germs to escape from the open mouth

[amy.lauersdorf90]

Answer to Question 1

C

Feedback
A Incorrect. The signs and symptoms seen in an infant with Arnold-Chiari malformation do not include difficulty sleeping, hypervigilant, and an arching of the back.
B Incorrect. The signs and symptoms seen in an infant with Arnold-Chiari malformation do not include weakness of the leg muscles, loss of sensation in the legs, and restlessness.
C Correct. The signs and symptoms seen in an infant with Arnold-Chiari malformation include difficulty swallowing, diminished or absent gag reflex, and respiratory distress.
D Incorrect. The signs and symptoms seen in an infant with Arnold-Chiari malformation do not include paradoxical irritability, diarrhea, and vomiting.

Answer to Question 2

B

Feedback
A Incorrect. A child in isolation will look for any encouragement, and even though the child cannot see the smile through the mask, they will see the smile in the actions of the eyes and the area around the eyes, even in the sound of the voice.
B Correct. Smiling is important; although a child cannot see a smile from the nurse's mouth, since it is covered by a mask, the child will see it in the nurse's eyes.
C Incorrect. A child in isolation will look for any encouragement, it is not about making the nurse feel better.
D Incorrect. The mask protects the escape of germs.