A nurse is collecting data from a 4-month-old infant who has meningitis. Which of the following manifestations should the nurse expect?

Constipation

Depressed anterior fontanel

Presence of the rooting reflex

High-pitched cry

Answer and Explanation

The Correct Answer is D

D. A high-pitched cry, often described as a "crying in pain" or "irritable cry," can be a characteristic sign of meningitis in infants. The cry may sound different from the infant's usual cry and may be associated with irritability, discomfort, or pain. It can be indicative of increased intracranial pressure and neurological irritation caused by the inflammation of the meninges.

A. Constipation is not typically associated with meningitis in infants. Meningitis is an inflammation of the membranes surrounding the brain and spinal cord, which can cause symptoms such as fever, irritability, poor feeding, vomiting, and lethargy.

B. A depressed anterior fontanel (sunken soft spot on the baby's head) is not a typical manifestation of meningitis. Meningitis may cause signs of increased intracranial pressure, such as a bulging fontanel, rather than a depressed fontanel.

C. he presence of the rooting reflex is not specific to meningitis. The rooting reflex is a normal reflex present in infants, where they turn their head toward a stimulus (such as stroking the cheek or corner of the mouth) in search of nourishment (typically the breast or bottle).

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Correct Answer is D

Explanation

D. Suctioning equipment and oxygen are essential items to have at the bedside for seizure precautions. Seizures can sometimes be associated with airway compromise, excessive secretions, or respiratory distress. Having suctioning equipment readily available allows for prompt removal of oral or airway secretions if necessary. Oxygen may be needed to support oxygenation during or after a seizure, especially if there are concerns about respiratory depression or hypoxemia.

A. A tracheotomy set is not typically needed at the bedside for seizure precautions. Tracheotomy sets are used in emergency situations to establish a surgical airway if there is a severe airway obstruction or respiratory distress.

B. An emergency cart contains essential supplies and medications needed for emergency situations, including resuscitation equipment, medications, and supplies for managing various medical emergencies. However, the cart is not placed bedside.

C. A padded tongue blade is not typically needed at the bedside for seizure precautions. Tongue blades are sometimes used during airway management to help visualize and manipulate the tongue, but padded tongue blades are not routinely included in seizure precautions.

A. "My child will take the enzymes to help digest the fat in foods." B. "My child will chew the capsules." C. "My child will take the enzymes to prevent nausea." D. "My child will take the enzymes 2 hours before meals."

Correct Answer is A

Explanation

A. This statement indicates that the mother understands the purpose of giving pancreatic enzymes to her child with cystic fibrosis. Cystic fibrosis can cause pancreatic insufficiency, leading to difficulty digesting fats and other nutrients. Pancreatic enzymes help to supplement the deficient digestive enzymes, aiding in the digestion of fats and improving nutrient absorption.

B. Pancreatic enzyme capsules are typically meant to be swallowed whole, not chewed. Chewing the capsules could affect their effectiveness by prematurely releasing the enzymes in the mouth rather than in the stomach where they are needed for digestion.

C. While pancreatic enzymes can help with digestion and may indirectly reduce symptoms like nausea by improving nutrient absorption, their primary purpose is not to prevent nausea.

D. Pancreatic enzymes are usually taken with meals or snacks to aid in the digestion of food. The timing of pancreatic enzyme administration may vary depending on the child's eating schedule and the specific instructions provided by the healthcare provider, but taking them 2 hours before meals would not typically be recommended.

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A nurse is collecting data from a 4-month-old infant who has meningitis. Which of the following manifestations should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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