A student nurse asks the nurse how anticonvulsant drugs work. Which statement by the nurse would be the most accurate?

The parents of a child with a history of seizures who has been taking phenytoin (Dilantin) ask the nurse why it’s difficult to maintain therapeutic levels of this medication. Which statement by the nurse would be the most accurate?

Client teaching should stress which rule in relation to the differences in bioavailability of different forms of phenytoin?

A child diagnosed with meningitis is admitted to the hospital and started on I.V. fluids. The nurse is aware that the child is at risk for which condition?

The nurse determines that teaching was effective when a client taking an anticonvulsant drug states the importance of:

The nurse is reviewing assessment data and the admission orders of a client. The doctor has ordered the I.V. administration of phenytoin. The nurse determines further intervention is required when the admission assessment includes which of the following?

The nurse is teaching the parents of a child who is scheduled to begin a trial period of anticonvulsant drug therapy. What is the most important information for the nurse to give the parents?

The clinical manifestations of acute bacterial meningitis are dependent on which factor?

Which nursing assessment data should be given the highest priority for a child with clinical findings related to tubercular meningitis?

The nurse is preparing a toddler for a lumbar puncture. For this procedure, the nurse should place the child in which position?

Which goal of nursing care is the most difficult to accomplish in caring for a child with meningitis?

A nurse is teaching the parents of a child diagnosed with meningitis about the child’s medications. Which statement by the nurse is the most accurate with respect to the use of steroid therapy (dexamethasone) in conjunction with antimicrobial therapy?

The nurse is aware that antimicrobial therapy to treat meningitis should be instituted immediately after which event?

When caring for a school-age child who has had a brain tumor removed, a nurse makes the following assessment: pupils equal and reactive to light; motor strength equal; knows name, date, but not location; and complains of a headache. What is the most appropriate intervention by the nurse?

A child with a diagnosis of meningococcal meningitis develops signs of sepsis and a purpuric rash over both lower extremities. The primary health care provider should be notified immediately because these signs could be indicative of which complication?

A nurse is caring for a child with spina bifida. The child’s mother asks the nurse what she did to cause the birth defect. What is the best response by the nurse?

The mother of a child with a history of closed head injury asks the nurse why her son would begin having seizures without warning. Which response by the nurse is the most accurate?

While assessing the breath sounds of a child admitted with fever, seizures, and vomiting, the nurse notes petechiae on the child’s back. What is the most appropriate action by the nurse?

A client is experiencing a severe headache as a result of increased intracranial pressure (ICP). The nurse is aware that the headache is caused by which mechanism?

After a pathogen compromises the blood-brain and blood-cerebrospinal fluid (CSF) barriers, infection will spread to the meninges for which reason?

A 1-month-old infant is admitted to the pediatric unit and diagnosed with bacterial meningitis. Which assessment findings by the nurse support the diagnosis?

Which description is accurate about the incidence of sequelae in a client with bacterial meningitis?

A nurse is assessing a 3-year-old child with suspected nuchal rigidity. Which assessment data indicates nuchal rigidity?

The nurse is planning care for a 4-year-old child hospitalized with meningitis. What is the most appropriate intervention by the nurse?

A nurse notes that a 4-year-old child with cerebral palsy has a weight at the 30th percentile and a height at the 60th percentile. What is the most important information for the nurse to provide the family?

A child with an elevated temperature and change in behavior is scheduled for a lumbar puncture. To alleviate the child’s pain and fear of lumbar puncture, which intervention should a nurse perform?

A 10-year-old child with a concussion is admitted to the pediatric unit. A nurse should place this child in a room with which roommate?

The parents of a 19-month-old child bring their toddler to the clinic for a regular checkup. When palpating the toddler’s fontanels, what should the nurse expect to find?

Following a craniotomy on a child, I.V. fluids are ordered to run at 27 ml/hour. The tubing delivers 60 ml/hour. How many drops per minute should the nurse set the pump for?

A hospitalized child is to receive 75 mg of acetaminophen (Tylenol) for fever control. How much will the nurse administer if the acetaminophen is 40 mg per 0.4 ml?