A child with a mild traumatic brain injury is being sedated with ...

[HCHenry]

A child with a mild traumatic brain injury is being sedated with a mild sedative so that pain and anxiety are minimized. The nurse should (Select all that apply.)
 
  1. place a continuous-pulse oximetrymonitor on the child.
  2. place the child in a room near thenurse's station.
  3. allow for several visitors to remain atthe child's bedside.
  4. use soft restraints if the childbecomes confused.
  5. use sedation around the clock todecrease agitation.

Question 2

The nurse should suspect a child has cerebral palsy if the parent says
 
  1. My 6-month-old baby is rolling fromback to prone now.
  2. My 3-month-old fails to smile at me.
  3. My 8-month-old can sit withoutsupport.
  4. My 10-month-old is not walking.

[emily12345]

Answer to Question 1

Answer:1,2
Rationale: When a child is sedated,respiratory status should be monitored with a pulse-oximetry machine. The child should be close to the nurse's station so that frequent monitoring can be done.Several visitors at the bedside would increase the child's anxiety.Soft restraints may increase agitation.Sedation around the clock is not recommended due to the need to evaluate the neurologic system.

Answer to Question 2

Answer:2
Rationale:Children with cerebral palsy are delayed in meeting developmental milestones. The infant who fails to smile at 3 months of age is showing a delay. The social smile usually appears at around 6 weeks of age. A baby rolls over from back to prone at 6 months,sits without support at 8 months,and walks at 12 months.