What notable sign most likely indicates increased intracranial pressure in an infant?
High-pitched cry.
Decreased lower extremity movement.
Excessive wet diapers.
Bulging fontanel when crying.
The Correct Answer is D
Choice A reason: While a high-pitched cry can be a sign of distress, it is not a specific indicator of increased intracranial pressure.
Choice B reason: Decreased movement in the lower extremities can indicate a neurological issue but is not a specific sign of increased intracranial pressure.
Choice C reason: Excessive wet diapers are not related to intracranial pressure.
Choice D reason: This is the correct choice. A bulging fontanel, especially when crying, can indicate increased intracranial pressure in an infant. It is important to monitor for other signs and symptoms as well.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. If an orogastric tube fails to pass, it may indicate a blockage or abnormal connection, such as a tracheoesophageal fistula.
Choice B reason: Low birth weight can be associated with many conditions and is not specific to TEF.
Choice C reason: TEF is not typically visible without special imaging or procedures; it cannot be visually identified at delivery.
Choice D reason: Dry mouth and nares with little to no oral secretions could indicate other conditions and are not specific to TEF. TEF often presents with excessive oral secretions.
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. Congestive heart failure can occur in chronic renal failure due to fluid overload and the inability of the kidneys to manage fluid balance.
Choice B reason: Metabolic alkalosis is not typically a major complication of chronic renal failure; metabolic acidosis is more common due to the accumulation of acids in the body.
Choice C reason: Excessive excretion of blood urea nitrogen is not a complication; rather, in renal failure, the kidneys cannot excrete urea nitrogen effectively.
Choice D reason: Hypokalemia (low potassium) can occur, but it is not as major a complication as congestive heart failure in the context of chronic renal failure.
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