A nurse assesses an infant for signs of increased intracranial ...

[shenderson6]

A nurse assesses an infant for signs of increased intracranial pressure. Which signs would lead the nurse to notify the rapid response team? (Select all that apply.)
 
  A.
  Bulging fontanels
  B.
  Change in LOC
  C.
  Irregular respirations
  D.
  Posturing
  E.
  Seizures

Question 2

A camp nurse reads on a medical history form that a camper has drop attacks. What does the nurse understand about this condition?
 
  A.
  Atonic seizure activity
  B.
  Fainting spells
  C.
  Loss of consciousness
  D.
  Sudden muscle weakness

[macmac]

Answer to Question 1

ANS: A, C, D
Bulging fontanels, irregular respirations, and posturing are among the late signs of increased intracranial pressure and would lead the nurse to intervene quickly by notifying the health-care provider or by activating the rapid response team. The other signs are early indicators of increased intracranial pressure.

Answer to Question 2

ANS: A
Drop attack is an old term for atonic seizure activity.

[shenderson6]

Thanks for the timely response, appreciate it

[milbourne11]

YES! Correct, THANKS for helping me on my review