A nurse is assisting with the care of a 2-month-old infant who has a subdural hematoma. Which of the following findings should the nurse expect?
Depressed fontanels
Decreased temperature
Difficult to arouse
Weak cry
The Correct Answer is C
Choice A reason:
A subdural hematoma may not directly affect the fontanels. Depressed fontanels can be a sign of dehydration or other underlying conditions, but they are not specifically associated with a subdural hematoma.
Choice B reason:
A subdural hematoma would not typically cause a decrease in body temperature. This finding may be related to other factors, but it is not a characteristic sign of a subdural hematoma.
Choice C reason:
Correct. A subdural hematoma is a collection of blood between the dura mater and the brain. This can lead to increased intracranial pressure and result in the infant being difficult to arouse.
Choice D reason:
While a weak cry can be an indication of distress or illness in an infant, it is not a specific sign of a subdural hematoma. Other assessments, including neurological signs, are crucial in evaluating the infant's condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: Teaching the child to swim does not eliminate the risk of accidental drowning. While swimming skills are important, they cannot guarantee that a child will not drown, especially if they are unsupervised or encounter an unexpected situation in the water.
Choice B: An adult should remain within arm's reach of the child when near water. Constant supervision is crucial because toddlers can move quickly and may not understand the dangers of water. Being within arm's reach allows the adult to react immediately if the child is in distress.
Choice C: Most incidents of accidental drowning do not necessarily occur in ponds or lakes; they can happen in any body of water, including home swimming pools, bathtubs, and even buckets. Therefore, vigilance is required around all water sources.
Choice D: Placing a fence around a pool can help prevent accidental drowning, but it does not ensure the safety of the child. A fence is a barrier but not a substitute for active supervision. It's also important that the fence is properly maintained and secured.
Correct Answer is D
Explanation
Choice A reason:
Tinnitus (ringing in the ears) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.
Choice B reason:
Pruritus (itching) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.
Choice C reason:
Polyuria (excessive urination) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.
Choice D reason:
Abdominal pain is a common symptom of a vaso-occlusive crisis in sickle cell anemia. This pain is due to the obstruction of blood flow in the small vessels of the abdomen, leading to tissue
ischemia and pain.
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