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. Doing everything for the child may increase dependency and does not promote the child's development.
B. Assessing the child's level of mental maturity, self-help abilities, and habits helps the nurse to provide care that is appropriate to the child's developmental level and promotes independence.
C. Using chronological age alone does not consider the child's actual developmental abilities.
D. Speaking only to the mother ignores the child's ability to understand and participate in their own care, regardless of their level of disability.

A. 75 mg B. 150 mg C. 60 mg D. 300 mg

Correct Answer is A

Explanation

Convert weight to kg: 11 lbs ÷ 2.2 = 5 kg. Calculate total daily dose: 60 mg/kg/day × 5 kg = 300 mg/day. Divide the total daily dose by the number of doses per day: 300 mg/day ÷ 4 (every 6 hours) = 75 mg per dose

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is A

Explanation

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