What is a sign of increased intracranial pressure (ICP) in a 10-year-old child?
Tachypnoea
Bulging fontanel
Headache
Increase in head circumference
The Correct Answer is C
A sign of increased intracranial pressure (ICP) in a 10-year-old child is a headache. Headache is a common symptom associated with increased pressure within the cranial cavity. It can be a result of various conditions that cause elevated intracranial pressure, such as brain tumours, intracranial haemorrhage, hydrocephalus, or brain trauma. The headache may be described as persistent, worsening, or accompanied by other symptoms such as nausea, vomiting, or changes in neurological status.
tachypnoea (rapid breathing), in (option A) is incorrect because it is not a specific sign of increased intracranial pressure. It can be seen in various conditions, including respiratory and cardiovascular disorders, anxiety, or physical exertion.
bulging fontanel in (option B) is incorrect because it, is more commonly observed in infants and is not typically seen in older children. The fontanelles (soft spots) on an infant's skull normally close by the age of 18-24 months.
an increase in head circumference in (option D) is incorrect because it, may be a sign of increased intracranial pressure in infants. However, in a 10-year-old child, the fontanelles are typically closed, and head circumference growth is not a reliable indicator of increased intracranial pressure
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A subdural hematoma is a type of intracranial bleeding that occurs between the dura mater (the
outermost layer of the meninges) and the skull. The dura mater is a tough membrane that covers
and protects the brain. When a subdural hematoma occurs, blood collects between the dura mater
and the skull, resulting in increased pressure on the brain.
Bleeding is generally arterial, and brain compression occurs rapidly in (Option B) is incorrect because
while bleeding in a subdural hematoma can be arterial, it can also be venous. The rate of bleeding
and brain compression can vary depending on the size and severity of the hematoma.
Bleeding occurs between the dura and the cerebrum in (Option C) is incorrect because the bleeding
in a subdural hematoma does not occur between the dura and the cerebrum (the largest part of the
brain). It specifically occurs between the dura and the skull.
The hematoma commonly occurs in the pretemporal region in (Option D) is incorrect because the
location of a subdural hematoma can vary. While pretemporal region is a possible location, subdural
hematomas can occur in different areas of the brain, depending on the site of injury.
Correct Answer is A
Explanation
Graves' disease is an autoimmune disorder that affects the thyroid gland and results in the overproduction of thyroid hormones. Treatment for Graves' disease typically involves medications to regulate thyroid function. Adherence to the medication regimen is crucial for managing the disease and controlling symptoms.
By prioritizing the goal of verbalizing the importance of adherence to the medication regimen, the nurse aims to educate the adolescent about the significance of taking medications as prescribed. This education can help the adolescent understand the impact of medication non-adherence on their health and encourage them to actively participate in their treatment.
, developing alternative educational goals in (option B) is incorrect because it, is not directly related to the management of Graves' disease and its treatment.
allowing the adolescent to make decisions about whether or not to take medication in (option C) is incorrect because it, is not appropriate for a condition like Graves' disease where medication adherence is necessary for disease management. In this case, the nurse should focus on providing education and support to help the adolescent understand the importance of medication compliance.
relieving constipation in (option D) is incorrect because it, may be a consideration if constipation is a symptom experienced by the adolescent with Graves' disease. However, it is not the priority nursing goal as compared to ensuring adherence to the medication regimen, which directly addresses the management of Graves' disease.
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