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

The nurse should instruct the children’s parents to seal nonwashable items in airtight plastic bags for at least 72 hours to kill any lice or nits that may be on those items.
Choice A is incorrect because lice are speciﬁc to humans and do not infest dogs
or cats.
Choice B is incorrect because soaking combs and hairbrushes in alcohol is not necessary.
Instead, they can be soaked in hot water (at least 130°F) for 5-10 minutes.
Choice C is incorrect because spraying countertops and sinks with insecticide is not necessary and could be harmful.

A. Improve the client's communication skills. B. Provide respite services for the parents. C. Foster self-care activities. D. Modify the environment.

Correct Answer is D

Explanation

The correct answer is d. Modify the environment.

Rationale for each choice:

Choice a. Improve the client's communication skills.

Statement:While communication is important,it is not the priority for a child with hemiplegic cerebral palsy.
Rationale:Hemiplegic cerebral palsy primarily affects motor skills,not communication abilities.While some children with hemiplegic cerebral palsy may have speech difficulties,it is not the most pressing concern in this case.Addressing environmental barriers to promote mobility and independence takes precedence.

Choice b. Provide respite services for the parents.

Statement:Respite services can provide valuable support for parents,but they are not the priority in this case.
Rationale:The focus of the care plan should be on the child's immediate needs and safety.Modifying the environment to enhance the child's functional abilities is crucial for their development and well-being.

Choice c. Foster self-care activities.

Statement:Encouraging self-care is essential,but it requires a supportive environment.
Rationale:Before promoting self-care activities,the nurse must ensure the child has the necessary accommodations and modifications in place to facilitate independence.

Choice d. Modify the environment.

Statement:This is the priority goal for a child with hemiplegic cerebral palsy.
Rationale:Modifying the home environment can significantly improve the child's mobility,safety,and ability to participate in daily activities.Examples of modifications include:
- Installing grab bars in the bathroom
- Widening doorways
- Removing tripping hazards
- Providing adaptive equipment such as special chairs or utensils
- Ensuring adequatelighting

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

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Naxlex Comprehensive Predictor Exams

A school nurse conducting a screening for pediculosis capitis identifies several children who require treatment. Which of the following instructions should the nurse give the children's parents?

Correct Answer is D

Explanation

A home health nurse is developing a plan of care for a child who has hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?

Correct Answer is D

Explanation

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