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Author Question: A nurse is caring for a child and notes Battle's sign during the assessment. Which action by the ... (Read 26 times)

codyclark

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on: Jun 28, 2018
A nurse is caring for a child and notes Battle's sign during the assessment. Which action by the nurse is the most appropriate?
 
  A.
  Assist with obtaining laboratory studies.
  B.
  Document the findings in the child's chart.
  C.
  Measure the child's abdominal girth.
  D.
  Notify the provider and facilitate a CT or an MRI.

Question 2

A pediatric nurse reads the diagnosis SCIWORA on a child's chart. Which assessment finding does the nurse anticipate to correlate with this condition?
 
  A.
  Altered level of consciousness
  B.
  Diplopia and visual disturbances
  C.
  Inability to hold his head up
  D.
  Weakness/paralysis of muscles


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tdewitt

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: D
Battle's sign is indicative of a basilar skull fracture. The child will need a head CT or an MRI. The other actions are not needed as a result of this finding.

Answer to Question 2

ANS: D
SCIWORA stands for spinal cord injury without radiographic abnormality. Common manifestations of spinal cord injury include increased muscle tone, loss of normal bowel and bladder function, numbness, sensory changes, pain, and weakness or paralysis of muscles.


codyclark

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Reply 2 on: Jun 28, 2018
:D TYSM

upturnedfurball

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Reply 3 on: Yesterday
Excellent

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