The nurse is caring for a young child who fell and hit his or her ...

[audie]

The nurse is caring for a young child who fell and hit his or her head and is brought to the emergency room with projectile vomiting. How does the nurse interpret this behavior?
 
  A) The child is in intense pain
  B) The child probably ate too much for dinner
  C) The child likely has a full bladder
  D) The child has increased intracranial pressure

Question 2

The operating room nurse is taking the patient into the operating room when the patient says his grandmother almost died from a high fever in surgery 15 years ago.
 
  The nurse shares this information with the surgical team, recognizing this information indicates the patient is at risk for what? A) An allergic reaction to anesthesia
  B) Malignant hyperthermia
  C) Anxiety
  D) Hypothermia

[carojassy25]

Answer to Question 1

D
Feedback:
Increased intracranial pressure applies direct pressure to the CTZ resulting in projectile vomiting. This child requires a thorough neurological assessment. Intense pain would be indicated by crying. A full bladder or eating too much for dinner would not cause projectile vomiting in a healthy child.

Answer to Question 2

B
Feedback:
The nurse assesses for a personal or family history of malignant hyperthermia, which may be triggered by the use of general anesthetics. Identifying patients at risk is imperative because the mortality rate is very high. All of these drugs have the potential to trigger malignant hyperthermia and should be used with caution in any patient at high risk. The patient's anxiety is to be expected, all patients are at risk for hypothermia because they are often uncovered in a cold room. Allergy to anesthesia must always be considered a possibility but there is no indication of a higher than normal risk in this patient.

[audie]

Gracias!

[alexanderhamilton]

Great answer, keep it coming