A child with increased intracranial pressure is being treated ...

[shofmannx20]

A child with increased intracranial pressure is being treated with hyperventilation. The nurse understands the need for this treatment is based on which of the following?
 
  A) PaCO2 levels decrease, causing vasoconstriction.
  B) Drainage of cerebrospinal fluid occurs.
  C) Activity is controlled via a stimulator.
  D) Hyperexcitability of the nerves is reduced.

Question 2

After teaching a group of students about the changes in health care delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child health care settings, would indicate that the teaching was
 
  successful? A) Increase in ambulatory care
  B) Decrease in family poverty level
  C) Increase in hospitalization of children
  D) Decrease in managed care

[hramirez205]

Answer to Question 1

A
Feedback:
Hyperventilation decreases PaCO2, which results in vasoconstriction and therefore decreases intracranial pressure. A shunt would allow for drainage of cerebrospinal fluid. A vagal nerve stimulator is used to provide an appropriate dose of stimulation to manage seizure activity. Anticonvulsants decrease the hyperexcitability of nerves.

Answer to Question 2

A
Feedback:
The health care system has moved from reactive treatment strategies in hospitals to a proactive approach in the community, resulting in an increased emphasis on health promotion and illness prevention in the community through the use of community-based settings such as ambulatory care. Poverty levels have not decreased and the hospitalization of children has not increased. Case management also is a primary focus of care.

[shofmannx20]

TYSM

[Alyson.hiatt@yahoo.com]

Gracias!