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 C

Explanation

The American Academy of Pediatrics recommends that infants be placed on their backs to sleep to reduce the risk of SIDS1.
Choice A is not an answer because there is no direct correlation between SIDS and diphtheria, tetanus, and pertussis vaccines

A. Avoid bubble baths. B. Watch for manifestations of infection. C. Empty the bladder completely with each void. D. Wipe perineal area front to back. E. Wear cotton underpants.

Correct Answer is ["A","B","C","D","E"]

Explanation

The nurse should include all of these points in the teaching.

A. Avoiding bubble baths can help prevent irritation and infection.
B. Watching for manifestations of infection can help detect any worsening or recurrence of the infection.
C. Emptying the bladder completely with each void can help prevent urine from remaining in the bladder and causing infection.
D. Wiping the perineal area front to back can help prevent bacteria from
spreading to the urethra.
E. Wearing cotton underpants can help keep the area dry and reduce the risk of infection.

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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

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