Page 1124 - Saunders Comprehensive Review For NCLEX-RN

4. Bradycardia
385. The nurse is assigned to care for an 8-year-old child with a diagnosis of a
basilar skull fracture. The nurse reviews the pediatrician’s prescriptions and
should contact the pediatrician to question which prescription?
1. Obtain daily weight.
2. Provide clear liquid intake.
3. Nasotracheal suction as needed.
4. Maintain a patent intravenous line.
386. The nurse is reviewing the record of a child with increased intracranial
pressure and notes that the child has exhibited signs of decerebrate
posturing. On assessment of the child, the nurse expects to note which
characteristic of this type of posturing?
1. Flaccid paralysis of all extremities
2. Adduction of the arms at the shoulders
3. Rigid extension and pronation of the arms and legs
4. Abnormal flexion of the upper extremities and extension and
adduction of the lower extremities
387. A child is diagnosed with Reye’s syndrome. The nurse creates a nursing care
plan for the child and should include which intervention in the plan?
1. Assessing hearing loss
2. Monitoring urine output
3. Changing body position every 2 hours
4. Providing a quiet atmosphere with dimmed lighting
388. The nurse creates a plan of care for a child at risk for tonic-clonic seizures. In
the plan of care, the nurse identifies seizure precautions and documents that
which item(s) need to be placed at the child’s bedside?
1. Emergency cart
2. Tracheotomy set
3. Padded tongue blade
4. Suctioning equipment and oxygen
389. A lumbar puncture is performed on a child suspected to have bacterial
meningitis, and cerebrospinal fluid (CSF) is obtained for analysis. The nurse
reviews the results of the CSF analysis and determines that which results
would verify the diagnosis?
1. Clear CSF, decreased pressure, and elevated protein level
2. Clear CSF, elevated protein, and decreased glucose levels
3. Cloudy CSF, elevated protein, and decreased glucose levels
4. Cloudy CSF, decreased protein, and decreased glucose levels
390. The nurse is planning care for a child with acute bacterial meningitis. Based
on the mode of transmission of this infection, which precautionary
intervention should be included in the plan of care?
1. Maintain enteric precautions.
2. Maintain neutropenic precautions.
3. No precautions are required as long as antibiotics have been
started.
4. Maintain respiratory isolation precautions for at least 24 hours
after the initiation of antibiotics.
391. An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which

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