how should a nurse handle a child with a suspected head injury who is showing signs of drowsiness

HESI LPN

Nutrition Final Exam Quizlet

1. How should a healthcare provider handle a child with a suspected head injury who is showing signs of drowsiness?

A. Administer pain medication
B. Perform a full neurological assessment
C. Allow the child to sleep
D. Contact a specialist immediately

Correct answer: B

Rationale: When a child with a suspected head injury is showing signs of drowsiness, administering pain medication should not be the first course of action as it may mask important symptoms. Allowing the child to sleep is not recommended as they need to be monitored. Contacting a specialist immediately may delay necessary assessments. Performing a full neurological assessment is the most appropriate action because it helps evaluate the head injury's extent, identify neurological deficits, and guide further intervention or treatment.

2. What is critical for preventing complications in an infant with hypothyroidism?

A. Excessive growth
B. Cognitive impairment
C. Damage to the nervous system
D. Damage to the urinary system

Correct answer: B

Rationale: The correct answer is B: Cognitive impairment. In infants with hypothyroidism, prompt administration of oral thyroid hormone replacement is crucial to prevent cognitive impairment and other serious complications. Excessive growth (choice A) is not a typical complication of hypothyroidism in infants. While hypothyroidism can affect the nervous system (choice C), cognitive impairment is more specific to untreated cases. Damage to the urinary system (choice D) is not a common complication of hypothyroidism in infants.

3. What is the priority assessment for a child with suspected appendicitis?

A. Temperature
B. Heart rate
C. Respiratory rate
D. Pain level

Correct answer: D

Rationale: The priority assessment for a child with suspected appendicitis is 'Pain level.' Evaluating the pain level, particularly in the lower right quadrant, is crucial as it helps in determining the severity of the condition, leading to prompt diagnosis and treatment. Monitoring temperature, heart rate, and respiratory rate are important aspects of assessment; however, they are secondary to assessing the pain level in cases of suspected appendicitis. Pain assessment is key in diagnosing this condition since the classic presentation includes abdominal pain that often starts around the umbilicus and then localizes to the right lower quadrant.

4. Which individual is making a food choice based on negative association?

A. A tourist from China who rejects a hamburger due to unfamiliarity
B. A child who spits out his mashed potatoes because they taste too salty
C. A teenager who grudgingly accepts an offer for an ice cream cone to avoid offending a close friend
D. An elderly gentleman who refuses a peanut butter and jelly sandwich because he considers it a child's food

Correct answer: D

Rationale: Choice D is the correct answer because the elderly gentleman is refusing the peanut butter and jelly sandwich due to his negative association of considering it a child's food. This negative association influences his food choice. Choices A, B, and C do not involve negative associations with the food being consumed. Choice A is based on unfamiliarity, Choice B is due to taste preference, and Choice C is driven by social considerations rather than negative food association.

5. What is an important aspect of managing a child with ADHD?

A. Increasing academic workload
B. Consistent behavior management strategies
C. Restricting all physical activity
D. Encouraging solitary activities

Correct answer: B

Rationale: Consistent behavior management strategies are crucial when managing a child with ADHD. By implementing consistent strategies, such as clear rules, positive reinforcement, and structure, it helps the child improve focus, manage impulsivity, and regulate their behavior. Choice A, 'Increasing academic workload,' is incorrect as overwhelming a child with ADHD with more academic tasks can exacerbate their symptoms. Choice C, 'Restricting all physical activity,' is also incorrect as physical activity is beneficial for children with ADHD to release excess energy and improve focus. Choice D, 'Encouraging solitary activities,' is not ideal as social interaction and engagement with others are important for a child's development and well-being.