Author Question: The nurse is caring for a 3-year-old with a head injury. Which assessment would lead the nurse to ... (Read 87 times)

Beheh · **on:** Jun 28, 2018

The nurse is caring for a 3-year-old with a head injury. Which assessment would lead the nurse to report the probability of increasing intracranial pressure (ICP)?

a. Temperature increase from 37.2 C (99 F) to 37.7 C (100 F)
b. Increase in blood pressure with an attendant decrease in pulse
c. Increase in respirations
d. Equilateral pupils

Question 2

Parents of a 10-year-old child diagnosed with an intellectual deficit are sharing multiple approaches they implement in dealing with various challenges. Which of the following a statements by the parents alerts the nurse that they need further instruction

a. We dress our son every morning for school.
b. Our son participates in the Special Olympics every year.
c. Our son attends play therapy at a center close to home.
d. We attend a support group once a week.

rekilledagain · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Increasing blood pressure, accompanied by decreasing pulse, and accompanied by unequal pupils are indicators of ICP.

Answer to Question 2

ANS: A
The mentally handicapped child needs to develop a sense of accomplishment. Caregivers should not take over projects because of their own need to assist or speed up the process.