A child with a skull fracture is unconscious and has severely increased intracranial pressure (ICP). The nurse notthe childs temperature is 104°F (40°C). Which should the nurse do first?

Correct Answer: A

Rationale: A cooling blanket is first for 104 °F with ICP, per PICU protocols, safely lowering temperature to reduce metabolic demand and ICP. Tylenol (B, C) is slower; ice packs less controlled. As efficiency makes itthe correct answer.

Correct Answer: C

Rationale: Vary by location, typically weight loss, distention, fatigue is best, per oncology texts. Neuroblastomas site (e.g., abdomen) drivsymptoms; these are common. Fullness/urination and joint pain are specific; weight gain incorrect. Cs breadth makes itthe correct answer.

Correct Answer: A

Rationale: Placing food on the tongue tip should be questioned, per CP feeding guidelines. It risks tongue thrust and aspiration; food should go mid-tongue or back. Upright , soft foods , and slow feeding reduce risk. As danger makes itthe correct answer.

Correct Answer: B

Rationale: 6-month-old with hand preference needs follow-up, per CP screening. Persistent unilateral reaching may signal hemiplegia. Startle is normal; walking variable; bladder developmental. Bs sign makes itthe correct answer.

Correct Answer: A

Rationale: No neurological dysfunction post-surgery is best for meningocele, per neurosurgery texts. Lacking nerve involvement, outcomare good. Delay , deficits , and continence issufit myelomeningocele. As accuracy makes itthe correct answer.