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CPN - Neuro (High Priority 10-15 Q's) Questions And Answers With Verified Solutions Already Passed!!!
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CPN - Neuro (High Priority 10-15 Q's) Questions And Answers With Verified Solutions Already Passed!!!

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  • August 9, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • cpn neuro high priority 10 15 qs questions an
  • an infant undergoes surgery to repair a myelomenin
  • a neonate born within the past 24 hours with myelo
  • david is born with a myelomeningocele in his lumba

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  • CPN
  • CPN

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CPN - Neuro (High Priority 10-15 Q's)
Questions And Answers With Verified
Solutions Already Passed!!!
an infant undergoes surgery to repair a myelomeningocele. to detect increased
ICP as early as possible, the nurse should stay alert for which post op finding?
a) decreased UO
b) increased HR
c) bulging fontanel

d) sunken eyeballs - ANSWER✔✔ c) bulging fontanel


The anterior fontanel, which is open in infants until approximately 18 months of
age, allows for compensation of pressure in the intracranial space. A bulging
fontanel, therefore, is an early sign of increased intracranial pressure.


Infant s/s: high-pitched cry, extreme irritability, bulging fontanel
Children s/s: HA, n/v, seizures, decreased LOC


a neonate born within the past 24 hours with myelomeningocele is scheduled for
corrective surgery. post, what is the most important nursing goal?
a) preventing infection
b) ensuring adequate hydration
c) providing adequate nutrition

d) preventing contracture deformity - ANSWER✔✔ a) preventing infection

,Infection is one of the greatest pre-operative and post-operative risks for the child
with myelomeningocele because the defect involves exposure of the spinal cord
and meninges in a CSF-filled sac externally protruding from the child's back. Pre-
operatively, the nurse should keep the sac moist and sterile. Post-operatively, the
nurse should perform routine post-operative care to assure the incision is CDI,
and free from s/s of infection.


following the repair of a myelomeningocele, the nurse watches for symptoms of
hydrocephalus. what symptoms indicate increased ICP?
a) sunset sign, increased pulse, lethargy
b) high shrill cry, decreased pulse, positive ortolan sign
c) vomiting, increased pulse, bulging fontanels

d) bulging fontanel, decreased pulse, irritability - ANSWER✔✔ d) bulging fontanel,
decreased pulse, irritability


Infants after surgery to repair a myelomeningocele are at risk for hydrocephalus
as a post-operative complication. The reason for this is that the surgery to
internalize their sac-like cyst causes a reduction in the space for the CSF,
meninges, and spinal cord which can lead to:


1. Increased BP - As the pressure inside the skull increases, the body tries to
maintain adequate blood flow to the brain. It does this by increasing systemic
blood pressure.
2. Decreased HR - The rise in blood pressure triggers baroreceptors (pressure
sensors in blood vessels) in the cardiovascular system. These receptors then send
signals to the brain to slow down the heart rate. This response is partly an
attempt to prevent too high a blood pressure that could exacerbate the brain
swelling or lead to further complications.

, 3. Decreased RR - RR may also become irregular as a result of the brain trying to
adjust to the pressure changes


David is born with a myelomeningocele in his lumbar area. what pre op nursing
care should be provided?
a) position him in a supine position
b) apply lotion and gently massage the meningocele
c) exercise legs and arms to prevent atrophy of the muscles
d) place him in a prone position with a light sterile dressing on the meningocele -
ANSWER✔✔ d) place him in a prone position with a light sterile dressing on the
meningocele


Myelomeningocele is a condition in which the posterior portion of the vertebrae
lamina fails to close anywhere along the spinal cord. There is a protruding sac that
contains cerebral spinal fluid, meninges, and a portion of the spinal cord. Surgical
correction usually occurs within 84 hours of birth. Pre-operative nursing care is
aimed at preventing infection, keeping the sac moist, and assessing for motor
function below the sac.


you are the nurse performing discharge teaching for 8 year old Sarah who has
epilepsy. you know that an important component of your teaching are the side
effects of dilantin including:
a) respiratory acidosis
b) tachycardia
c) gum hyperplasia

d) hearing loss - ANSWER✔✔ c) gum hyperplasia

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