A nurse is collecting data from a 5-month-old infant who has increased intracranial pressure (ICP) resulting from hydrocephalus. Which of the following manifestations should the nurse expect?

A. Perform range-of-motion (ROM) exercises to the infant's hips. ROM exercises are not the priority for an infant with spina bifida and could potentially cause harm if not done properly, particularly if the lesion is in a sensitive area.

B. Place the infant in a prone position. This is the correct action as it helps prevent pressure on the spina bifida lesion and minimizes the risk of injury or infection to the exposed spinal cord or meninges.

C. Feed the infant through an NG tube. An NG tube is not typically necessary for feeding infants with spina bifida unless there are other complicating factors that affect feeding.

D. Cover the infant's lesion with a dry cloth. The lesion should be covered with a sterile, moist, and non-adhesive dressing to prevent infection and keep the area moist. A dry cloth could cause the lesion to dry out and increase the risk of infection or damage.

A. Initiate droplet precautions. Pertussis (whooping cough) is transmitted via respiratory droplets. Droplet precautions are necessary to prevent the spread of the disease through coughs or sneezes.

B. Initiate a protective environment. A protective environment is used for patients with severe immunocompromised conditions to protect them from infections, not to prevent the spread of respiratory infections like pertussis.

C. Initiate contact precautions. Contact precautions are used for infections spread by direct or indirect contact with the patient or their environment, such as MRSA. Pertussis is spread by droplets, not by contact.

D. Initiate airborne precautions. Airborne precautions are for diseases that are spread through airborne particles, such as tuberculosis or measles. Pertussis is not airborne but spread through larger respiratory droplets.