Which of the following BP changes alerts the nurse to increasing ICP, and should be reported immediately?

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Burns Pediatric Primary Care 7th Edition Test Bank Questions

Question 1 of 5

Which of the following BP changes alerts the nurse to increasing ICP, and should be reported immediately?

Correct Answer: B

Rationale: Widening pulse pressure is indicative of increasing intracranial pressure (ICP) and must be reported immediately. Pulse pressure is calculated by subtracting the diastolic blood pressure from the systolic blood pressure. An increasing pulse pressure can suggest a rise in ICP due to factors like cerebral edema or hemorrhage. This change indicates increased pressure exerted on blood vessels within the brain, potentially leading to serious consequences like brain herniation. Thus, recognizing and promptly reporting a widening pulse pressure is crucial to prevent further complications and enable appropriate interventions for the patient.

Question 2 of 5

Antibodies are made of which of the following types of substances?

Correct Answer: B

Rationale: Antibodies, also known as immunoglobulins, are proteins produced by the immune system in response to the presence of pathogens like bacteria, viruses, and other foreign substances. These proteins are specifically designed to recognize and bind to antigens, which are molecules that the immune system identifies as foreign or harmful. Antibodies play a crucial role in the immune response by marking pathogens for destruction by other immune cells and signaling the immune system to attack the invaders. Therefore, antibodies are primarily made up of proteins.

Question 3 of 5

A young couple of a 2-month-old baby girl with excessive crying seeks medical advice. The LEAST important advice is to

Correct Answer: C

Rationale: Changing the milk formula is less critical unless there is evidence of intolerance or allergy.

Question 4 of 5

A woman delivers a 3,250 g neonate at 42 weeks' gestation. Which physical finding is expected during an examination if this neonate?

Correct Answer: D

Rationale: A neonate born at 42 weeks' gestation, also known as post-term, is expected to have skin that appears leathery, cracked, and wrinkled due to prolonged exposure to the amniotic fluid in utero. This is a common physical finding in post-term neonates due to the decreased amount of vernix caseosa and amniotic fluid present on the skin at birth. Abundant lanugo (fine hair), absence of sole creases, and breast bud development are more commonly seen in preterm or term newborns, rather than post-term newborns.

Question 5 of 5

When a patient participates in a research study, the pediatric nurse's primary concern is to ensure that the:

Correct Answer: B

Rationale: Ensuring that the quality of care remains unaffected regardless of the patient's participation status is paramount to ethical research practices.

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