The nurse is assessing a 1-month-old infant with a new ventriculoperitoneal shunt. Which of the following signs and symptoms in this infant is concerning for increased intracranial pressure? SELECT ALL THAT APPLY

Vomiting

Poor Feeding

Weak cry

Sunken Fontanels

Irritability

Answer and Explanation

Correct Answer : A,B,E

A. Vomiting can be a sign of increased intracranial pressure (ICP).
B. Poor feeding is a concerning symptom of increased ICP.
C. A weak cry may indicate general illness but is not specifically indicative of increased ICP.
D. Sunken fontanels suggest dehydration, not increased ICP. Bulging fontanels would be concerning for increased ICP.
E. Irritability can be a sign of increased ICP in infants.

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Correct Answer is B

Explanation

A. This statement is incorrect as children with CF can receive hepatitis vaccines.
B. Children with CF need all typical immunizations to protect against preventable diseases, as well as additional vaccines like the yearly pneumococcal and influenza vaccines to prevent respiratory infections.
C. This statement is incorrect and misleading. Children with CF should receive all required immunizations.
D. This statement is incorrect as children with CF can receive the polio vaccine.

A. "Baseball cannot be adapted and it is best if he does not participate." B. "Could you try enrolling him in a music or arts based activity?" C. "Would you like to talk about your decision and discuss alternatives?" D. “That was a good choice. I'm sure he is upset that he cannot play baseball anymore.”

Correct Answer is C

Explanation

A. This response is not supportive and does not consider adaptive sports opportunities that may be available.
B. Suggesting a different activity might be helpful, but it does not address the parents' feelings or provide support for their decision.
C. Asking to discuss their decision and explore alternatives is the best response as it opens a dialogue, provides support, and helps the parents consider other options for their child's participation in activities.
D. This response does not support the parents' emotional needs or explore other possibilities for the child to stay active.

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The nurse is assessing a 1-month-old infant with a new ventriculoperitoneal shunt. Which of the following signs and symptoms in this infant is concerning for increased intracranial pressure? SELECT ALL THAT APPLY

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The nurse is assessing a 1-month-old infant with a new ventriculoperitoneal shunt. Which of the following signs and symptoms in this infant is concerning for increased intracranial pressure? SELECT ALL THAT APPLY