MATERNITY AND PEDIATRIC NURSING 4TH ED
CHAPTER 38 TEST BANK (203)EXAM QUESTIONS
1.The nurse is caring for a child hospitalized with Reye syndrome who is in the acute
stage of
the illness. The nurse would assess the child most carefully for what finding?
A. Indications of increased intracranial pressure
B. An increase in the blood glucose level
C. A decrease in the liver enzymes
D. A presence of protein in the urine: Answer: A
Rationale: Reye syndrome is characterized by brain swelling, liver
failure, and death in hours if
treatment is not initiated. Therefore, increased intracranial pressure cou
occur.
Liver enzyme
,levels typically increase. Blood glucose levels and protein in the urine ar
not characteristic of
this illness.
Question format: Multiple Choice
Chapter 38: Nursing Care of the Child With an Alteration in Intracranial
Regula- tion/Neurologic
Disorder
Cognitive Level: Apply
Client Needs: Physiological Integrity: Reduction of Risk
Potential Integrated Process: Nursing Process
Reference: p. 1363
2.The physician has ordered rectal diazepam for a 2-year-old boy with status
epilepticus. Which
instruction is essential for the nurse to teach the parents?
A. Monitor their child's level of sedation.
B. Watch for fever indicating infection.
, C. Gradually reduce the dosage as seizures stop.
D. Monitor for an allergic reaction to the medication.: Answer: A
Rationale: Diazepam is useful for home management of prolonged
seizures and requires that the
parents be educated on its proper administration. Monitoring the child's
level of sedation is key
when giving diazepam because it slows the central nervous system.
Parents need to monitor the
overall health of the child, including temperature when needed, but that
has nothing to do with
the diazepam. When the use of an anticonvulsant is stopped, gradual
reduction of the dosage is
necessary to prevent seizures or status epilepticus. This is not done
without a physician's order.
Monitoring for allergic reactions is necessary when any medications have
been prescribed, but is
CHAPTER 38 TEST BANK (203)EXAM QUESTIONS
1.The nurse is caring for a child hospitalized with Reye syndrome who is in the acute
stage of
the illness. The nurse would assess the child most carefully for what finding?
A. Indications of increased intracranial pressure
B. An increase in the blood glucose level
C. A decrease in the liver enzymes
D. A presence of protein in the urine: Answer: A
Rationale: Reye syndrome is characterized by brain swelling, liver
failure, and death in hours if
treatment is not initiated. Therefore, increased intracranial pressure cou
occur.
Liver enzyme
,levels typically increase. Blood glucose levels and protein in the urine ar
not characteristic of
this illness.
Question format: Multiple Choice
Chapter 38: Nursing Care of the Child With an Alteration in Intracranial
Regula- tion/Neurologic
Disorder
Cognitive Level: Apply
Client Needs: Physiological Integrity: Reduction of Risk
Potential Integrated Process: Nursing Process
Reference: p. 1363
2.The physician has ordered rectal diazepam for a 2-year-old boy with status
epilepticus. Which
instruction is essential for the nurse to teach the parents?
A. Monitor their child's level of sedation.
B. Watch for fever indicating infection.
, C. Gradually reduce the dosage as seizures stop.
D. Monitor for an allergic reaction to the medication.: Answer: A
Rationale: Diazepam is useful for home management of prolonged
seizures and requires that the
parents be educated on its proper administration. Monitoring the child's
level of sedation is key
when giving diazepam because it slows the central nervous system.
Parents need to monitor the
overall health of the child, including temperature when needed, but that
has nothing to do with
the diazepam. When the use of an anticonvulsant is stopped, gradual
reduction of the dosage is
necessary to prevent seizures or status epilepticus. This is not done
without a physician's order.
Monitoring for allergic reactions is necessary when any medications have
been prescribed, but is
