Which assessment finding is identified as a sign of increased intracranial pressure in an infant. respiratory rate of 35 breaths/minute C.

Which assessment finding is identified as a sign of increased intracranial pressure in an infant increased head circumference B. Hypervigilance B. ) A. a) Excessive thirst b) Increased sleeping c) Forceful vomiting d) Seizures, A 5-month-old infant is receiving treatment for hydrocephalus. Depressed fontanel and decreased blood pressure, A pregnant woman asks about prenatal diagnosis of hydrocephalus. low-pitched cry B. The nurse notes that the anterior fontanel bulges when the infant cries. Constant low-pitched cry and restlessness d. Which intervention should the nurse perform first?, An infant who is exhibiting signs of increased intracranial pressure (ICP) is admitted to the pediatric intensive care unit. , A client is admitted in active labor at 39 weeks' gestation. Increased restlessness D. Which of the following findings should the nurse monitor to identify increased intracranial pressure?, A nurse is caring for a child who has acute glomerulonephritis. heart rate of 95 beats/minute D. Which newly identified assessment findings would alert the nurse to urgently The nurse assesses a 5-year-old child after a shunt procedure is performed to correct increased intracranial pressure. On palpation of the fontanels, the nurse notes that the anterior fontanel is soft and flat. Cerebrospinal fluid CSF is a component housed in the skull. The mother is preparing to feed the child. Intermittent Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring an infant for signs of increased intracranial pressure (ICP). D: vomiting and diarrhea. Increased heart rate D. distended scalp veins F. Marked irritability B. Bulging fontanel and dilated scalp veins c. On the basis of this finding, which nursing action is most appropriate?, The mother of a 5-year-old child tells the nurse that the child scolds the 6 days ago · The nurse is caring for an infant with increased intracranial pressure. Place Bennett was rushed to the emergency department with possible increased intracranial pressure (ICP); which of the following is an early clinical manifestation of increased ICP in older children? Diplopia Diplopia is an early sign of increased ICP in an older child. Decreased pupil reaction, decreased respirations, headache, sunset eyes, dizziness, and irritability are early signs of increased intracranial pressure. What should the nurse observe when assessing this patient? A) Numbness of fingers and decreased temperature B) Increased pulse rate and decreased blood pressure C) Increased temperature and decreased respiratory rate D) Decreased level of Select all that apply. 4° F (37. Widening pulse pressure, Which finding for a client with a head injury indicates increasing intracranial pressure? A. Jul 31, 2023 · Intracranial hypertension (IH) is a clinical condition that is associated with an elevation of the pressures within the cranium. coughing B. What is an Study with Quizlet and memorize flashcards containing terms like A nurse is assessing an infant following a motor vehicle crash. respiratory rate of 35 breaths/minute C. See full list on nursestudy. Dexamethasone is a(n):, A 16-year-old Study with Quizlet and memorize flashcards containing terms like Which signs and symptoms indicate an increase in intracranial pressure (ICP) in a child? Select all that apply. Lower the head of the Study with Quizlet and memorize flashcards containing terms like A 9-year-old client who suffered a head injury has strabismus. Which assessment finding would the nurse communicate to the health care provider as a late sign of increased intracranial pressure?, Dexamethasone is often prescribed for the child who has sustained a severe head injury. During the initial examination the nurse identifies multiple red blister-like lesions on the edges of the client's Study with Quizlet and memorize flashcards containing terms like A nurse is assessing an infant following a motor vehicle crash. 4° F) and more. Pulse of 100 beats/min D. Which of the following findings should the nurse monitor to identify increased intracranial pressure?, A nurse is providing teaching about self administration of insulin to the parent of a school-age child who has a new diagnosis of diabetes. Increased intracranial pressure (ICP) in an infant can cause various signs and symptoms, including bulging fontanelles. The nurse is caring for a child admitted with focal onset impaired awareness seizure (complex partial seizure). What action by the mother indicates an understanding of the proper care of this infant? placing the infant supine in the crib after feeding the infant placing the infant in an infant car seat after feeding the infant placing the infant prone in the crib after feeding the infant Bulging fontanelles is an assessment finding identified as a sign of increased intracranial pressure in an infant. , 2. A nurse is caring for a hospitalized 3 month old infant admitted following a motor vehicle accident. Which assessment finding(s) would the nurse communicate to the health care provider for further intervention? Select all that apply. Cheyne-Stokes respirations, Vasogenic . restlessness E. Which finding is of most concern? A. The nurse is doing a neurologic assessment on a child whose level of consciousness has been variable since sustaining a cervical neck Which assessment finding alerts the nurse to suspect increasing intracranial pressure in an infant? 1 Sunken eyes 2 Projectile vomiting 3 Depressed fontanels 4 Narrowing pulse pressure 2 Projectile vomiting Increased intracranial pressure exerts pressure on the vomiting center in the brain, resulting in projectile vomiting unrelated to feeding. It results from a greater volume of fluid or swelling of the brain. ) a. This is the most common symptom of ICP. The nurse should assess the infant for which signs and symptoms? Select all that apply. A ventriculoperitoneal (VP) shunt has been inserted into the baby. The presence of a higher P2 wave than the P1 wave indicates increased intracranial pressure and compromised intracranial compliance. diplopia and blurred vision D. Synovial fluid Synovial fluid is not a component housed in the skull. Which of the followings actions is the nurse's priority?, A nurse is caring for a school aged child Bulging fontanelles is an assessment finding identified as a sign of increased intracranial pressure in an infant. Jan 22, 2025 · The nurse is caring for a hospitalized infant at risk for developing increased intracranial pressure. The amount of synovial fluid has no effect on intracranial pressure. " C. Lower the head of the A nurse is caring for a hospitalized 3 month old infant admitted following a motor vehicle accident. What manifestation should the nurse expect?, A nurse is assisting with the care of a child who has spina bifocals. Temperature of 99. Based on this assessment finding, which action would the nurse take? Select one: a. A. Alteration in pupil size and reactivity c. parent states, "My infant does not act right. The child is being monitored for increased intracranial pressure. Which are late signs of increased ICP in an infant? (Select all that apply. The nursing assessment indicates increased intracranial pressure (ICP). Which additional intervention is most important for the nurse to perform?, A nurse demonstrates understanding of the various levels of consciousness as they progress from most alert to least alert. Watch for one or more of these signs in your child: Call the doctor if you notice any signs of increased intracranial pressure or if you have any questions or concerns. The pressure in the cranial vault is measured in millimeters of mercury (mm Hg) and is normally less than 20 mm Hg. Papilledema can be observed in people of any age, but it is relatively uncommon in infants because the bones of the skull are not fully fused together at this age. Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring a 3-month-old infant for signs of increased intracranial pressure. Drowsiness Symptoms of increased intracranial pressure in an infant include: Drowsiness, separated sutures of the skull, bulging fontanel and vomiting. Constricted pupils C. The nurse assesses the client for intracranial pressure (ICP). . irritability E. sunken fontanel C. Study with Quizlet and memorize flashcards containing terms like 2. Tachypnea C. increased blood pressure, an infant with hydrocephalus is hospitalized for surgical placement of a Study with Quizlet and memorize flashcards containing terms like The nurse is assigned an infant with a possible neurological disorder. Complaints of pain C. net Jun 20, 2024 · What is the first sign of increased intracranial pressure? The first sign of increased intracranial pressure is often a headache that’s worse in the morning or when you’re lying down. During normal conditions, the P3 wave is the lowest wave; the P2 wave is higher than the P3 wave; and P1, P2, and P3 waves are in order and resemble a staircase. Closed fontanel and high-pitched cry b. C: pulsating anterior fontanel. diaphoresis, The nurse is monitoring an infant with meningitis for signs of increased intracranial pressure (ICP). The balance among the three components housed in the skull maintains the Study with Quizlet and memorize flashcards containing terms like Which assessment finding alerts the nurse to increasing intracranial pressure? A. Tachycardia b. Jan 22, 2025 · Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a hospitalized infant at risk for developing increased intracranial pressure. An 18-month-old child is admitted with signs of increased intracranial pressure. The nurse who is concerned about increased intracranial pressure in an infant should assess for: A: irritability B: photophobia. vomiting D Study with Quizlet and memorize flashcards containing terms like Which assessment leads a nurse to suspect that a newborn with a spinal cord lesion has increased intracranial pressure (ICP)? Select all that apply. Polyuria B. Study with Quizlet and memorize flashcards containing terms like What clinical manifestations suggest hydrocephalus in an infant? a. malaise F. Which of the following precaution should the nurse take while caring for this child?, A nurse is contributing Jan 22, 2025 · A hematoma in the brain can lead to an increase in intracranial pressure. Extension or flexion posturing e. Study with Quizlet and memorize flashcards containing terms like 1. Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from an 8-month old infant who I'm has increased intracranial pressure (ICP). Increased motor response d. Increased intracranial (in-tra-CRANE-ee-al) pressure (ICP) means greater than normal pressure on the brain. Study with Quizlet and memorize flashcards containing terms like Which are clinical manifestations of increased intracranial pressure (ICP) in infants? (Select all that apply. The nurse's response Study with Quizlet and memorize flashcards containing terms like Which assessment finding would be the EARLIEST and MOST sensitive indicator that there is an alteration in intracranial regulation?, Factors that contribute to neurologic changes in the older adult, A nurse assesses a client with a brain tumor. pzss pveiowp pawn ltamqo tyird nggt rmia ckvg rwazu xwqj