A nurse is assessing an 11-month-old infant. Which of the following manifestations is associated with a CNS infection?

Oliguria.

Jaundice.

Bulging fontanel.

Negative Brudzinski sign.

Answer and Explanation

The Correct Answer is C

A bulging fontanel is a manifestation associated with a CNS infection in an 11- month-old infant.
A bulging fontanel can be a sign of increased intracranial pressure, which can
occur with meningitis or encephalitis, both of which are types of CNS infections.
Choice A is incorrect because oliguria, or decreased urine output, is not typically associated with a CNS infection.
Choice B is incorrect because jaundice, or yellowing of the skin and eyes, is not typically associated with a CNS infection.
Choice D is incorrect because a negative Brudzinski sign would indicate that there is no neck stiﬀness, which would be an unlikely ﬁnding in a CNS infection.

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Correct Answer is D

Explanation

A. Semi-Fowler's. While this position can help with drainage, it is generally not the first choice immediately after VP shunt surgery.

B. Prone.This position is generally not recommended as it can cause discomfort and increase intracranial pressure.

C. Trendelenburg. This position is contraindicated as it can significantly increase intracranial pressure.

D. on the unoperated side. This position helps prevent pressure on the operative site and facilitates drainage of cerebrospinal fluid. It also reduces the risk of complications associated with increased intracranial pressure.

A. "The provider will be coming to explain the situation.". B. "As a nurse, I am required by law to report suspected child abuse.". C. "I am unable to discuss this, but I can contact my supervisor to speak with you.". D. "I reported the incident to my supervisor who decided to contact the authorities.".

Correct Answer is B

Explanation

This response is appropriate because it informs the parent that the nurse has a legal obligation to report any suspected child abuse.
Choice A is not an answer because it does not address the parent’s concern and instead defers responsibility to the provider.
Choice C is not an answer because it does not provide any information to the parent and instead suggests contacting a supervisor.
Choice D is not an answer because it implies that the decision to report the incident was made by the supervisor and not the nurse.

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A nurse is assessing an 11-month-old infant. Which of the following manifestations is associated with a CNS infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt placement. In which of the following positions should the nurse place the client?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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