NURS 2356: Neurologic
Disorders in Pediatrics Exam
Questions And verified
Answers 100 % guaranteed
Pass
Cause of Epidural hematoma's - correct answer rupture of middle meningial artery caused by an
injury to the temporal region of the skull
Since an epidural hematoma is caused by the rupture an _____ the onset of sx will be ____, and
therefore intervention will need to be ____ - correct answer artery, fast, prompt
How are hematoma's diagnosed and give a brief description of the two of them (: - correct
answer CAT or CT scan: non-invasive Xray that looks at the thickness of tissues and structures
inside the body, images a "slice" of the child's tissue
MRI: uses a magnetic field to show different tissue compositions
Why may an epidural hematoma not be detected - correct answer Neurological changes may be
delayed up to 48 hours while changes are taking place in the brain that could lead to herniation
of the brainstem, coma, and death
What is the rationale on wearing helmets? - correct answer the middle meningeal artery is not
protected by the sky until 2 years old, even without a fracture to the skull the artery can
rupture/tear
,What are some emergency measures for traumatic alterations of the CNS - correct answer
ABC's, stabilize the spine, and treat shock
What medications can decrease cerebral edema - correct answer Diuretics (Mannitol or lasix)
and Steroids (dexamethasone)
What are the three factors evaluated in the Glascow Glaucoma Scale - correct answer Best
verbal, motor, and eye opening response
What is a non-pharmacologic measure for the treatment of a traumatic alternations of CNS and
what should you consider with this treatment - correct answer Hypothermia blankets but don't
cool them down too quickly because it could cause arrhythmia's
What are some Nursing considerations for an acute head injury - correct answer VS (widening
pulse pressure) and LOC, have suction bag and mask at bedside, initiate seiz precautions, and
contact National head injury foundation for additional support
Why are children 3-5 x more capable of absorbing lead than adults? - correct answer High fat
diet, more subcutaneous fat (p.s. lead loves fat), and GI tract readily absorbs it
What are some environmental factors that relate to lead ingestion - correct answer soil,
plumbing, dust on carpet from paint removal, candles with metal wicks, pottery from different
countries, don't store anything in crystal, blinds
What kind of dietary deficiencies are associated with lead poisoning - correct answer Pica (the
ingestion of non-food substances that's usually associated with mineral and mental deficiencies,
anemia, and pregnancy)
What are some examples of Pica - correct answer eating raw pasta, soil, tree bark, ice (anemia),
paper
, Where can Household lead test kits be found? - correct answer Hardware stores
What are some diagnostic findings for Lead poisoning? - correct answer Lead chips in abdomen
or lead deposits in bone on Xray images
Describe the erythrocyte protoprophyrin (EP) test - correct answer detects an enzyme that
increases as the lead levels rise and it reflects adverse effects on the heme system, however it
has a poor sensitivity to low levels
Which diagnostic test is commonly used for the screening and diagnosis of Lead poisoning -
correct answer Blood Lead Level (BLL) Test
What BLL requires clinical management and chelation therapy? - correct answer BLL greater
than 20 mcg/dL
What are Burtonian Blue lines - correct answer Blue lines in the gums associated with a BLL
greater than 60 mcg/dL and children that don't brush their teeth
T/F Any child admitted with anemia should be screened for lead poisoning - correct answer
Trueeee (:
T/F Neurological changes from lead poisoning are reversible where as Renal changes are not -
correct answer False, renal changes are reversible and neurological changes are irreversible
T/F Chelation therapy and lead poisoning itself is harsh on the kidneys - correct answer True!
So, check Kidney function regularly, look for protein and blood in the urine (Renal Failure), give
1.5 x maintenance fluids, u/o, urine specific gravity
Disorders in Pediatrics Exam
Questions And verified
Answers 100 % guaranteed
Pass
Cause of Epidural hematoma's - correct answer rupture of middle meningial artery caused by an
injury to the temporal region of the skull
Since an epidural hematoma is caused by the rupture an _____ the onset of sx will be ____, and
therefore intervention will need to be ____ - correct answer artery, fast, prompt
How are hematoma's diagnosed and give a brief description of the two of them (: - correct
answer CAT or CT scan: non-invasive Xray that looks at the thickness of tissues and structures
inside the body, images a "slice" of the child's tissue
MRI: uses a magnetic field to show different tissue compositions
Why may an epidural hematoma not be detected - correct answer Neurological changes may be
delayed up to 48 hours while changes are taking place in the brain that could lead to herniation
of the brainstem, coma, and death
What is the rationale on wearing helmets? - correct answer the middle meningeal artery is not
protected by the sky until 2 years old, even without a fracture to the skull the artery can
rupture/tear
,What are some emergency measures for traumatic alterations of the CNS - correct answer
ABC's, stabilize the spine, and treat shock
What medications can decrease cerebral edema - correct answer Diuretics (Mannitol or lasix)
and Steroids (dexamethasone)
What are the three factors evaluated in the Glascow Glaucoma Scale - correct answer Best
verbal, motor, and eye opening response
What is a non-pharmacologic measure for the treatment of a traumatic alternations of CNS and
what should you consider with this treatment - correct answer Hypothermia blankets but don't
cool them down too quickly because it could cause arrhythmia's
What are some Nursing considerations for an acute head injury - correct answer VS (widening
pulse pressure) and LOC, have suction bag and mask at bedside, initiate seiz precautions, and
contact National head injury foundation for additional support
Why are children 3-5 x more capable of absorbing lead than adults? - correct answer High fat
diet, more subcutaneous fat (p.s. lead loves fat), and GI tract readily absorbs it
What are some environmental factors that relate to lead ingestion - correct answer soil,
plumbing, dust on carpet from paint removal, candles with metal wicks, pottery from different
countries, don't store anything in crystal, blinds
What kind of dietary deficiencies are associated with lead poisoning - correct answer Pica (the
ingestion of non-food substances that's usually associated with mineral and mental deficiencies,
anemia, and pregnancy)
What are some examples of Pica - correct answer eating raw pasta, soil, tree bark, ice (anemia),
paper
, Where can Household lead test kits be found? - correct answer Hardware stores
What are some diagnostic findings for Lead poisoning? - correct answer Lead chips in abdomen
or lead deposits in bone on Xray images
Describe the erythrocyte protoprophyrin (EP) test - correct answer detects an enzyme that
increases as the lead levels rise and it reflects adverse effects on the heme system, however it
has a poor sensitivity to low levels
Which diagnostic test is commonly used for the screening and diagnosis of Lead poisoning -
correct answer Blood Lead Level (BLL) Test
What BLL requires clinical management and chelation therapy? - correct answer BLL greater
than 20 mcg/dL
What are Burtonian Blue lines - correct answer Blue lines in the gums associated with a BLL
greater than 60 mcg/dL and children that don't brush their teeth
T/F Any child admitted with anemia should be screened for lead poisoning - correct answer
Trueeee (:
T/F Neurological changes from lead poisoning are reversible where as Renal changes are not -
correct answer False, renal changes are reversible and neurological changes are irreversible
T/F Chelation therapy and lead poisoning itself is harsh on the kidneys - correct answer True!
So, check Kidney function regularly, look for protein and blood in the urine (Renal Failure), give
1.5 x maintenance fluids, u/o, urine specific gravity
