Author Question: A child sustains a traumatic brain injury and is monitored in the pediatric intensive-care unit ... (Read 43 times)

kwoodring · **on:** Jun 28, 2018

A child sustains a traumatic brain injury and is monitored in the pediatric intensive-care unit (PICU). The nurse is using the Glasgow Coma Scale to assess the child. Which items will the nurse assess when using this tool?

1. Eye opening
2. Verbal response
3. Motor response
4. Head circumference
5. Pulse oximetry

Question 2

A nurse is caring for a child who is diagnosed with cerebral palsy. Which goal of therapy is most appropriate for the nurse to include in the plan of care?

1. Reversing the degenerative processes that have occurred
2. Curing the underlying defect causing the disorder
3. Preventing the spread to individuals in close contact with the child
4. Promoting optimum development

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

Answer to Question 1

Correct Answer: 1,2,3
Rationale: The Glasgow Coma Scale for infants and children scores parameters related to eye opening, verbal response, and motor response. The maximum score is 15, indicating the highest level of neurological functioning. Head circumference and pulse oximetry are not included on the scale.

Answer to Question 2

Correct Answer: 4
Rationale: Recognition of the disorder is important so that optimal development can be maintained. Cerebral palsy cannot be reversed or cured. It is not caused by a contagious process, so there is no risk of spread.