ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A 4-month-old infant in the emergency department with fever, irritability, lethargy, bulging fontanel, clear cerebrospinal fluid from lumbar puncture, retinal hemorrhages.
Question 1 of 5
The nurse is caring for a 4-month-old infant in the emergency department. The nurse reviews the infant's medical record and assessment findings. Which of the following conditions should the nurse suspect, and what actions should the nurse take to address that condition, and what parameters should the nurse monitor to assess the infant's progress? The nurse should suspect that the infant has
Correct Answer: A
Rationale: The correct answer is A: meningitis. The nurse should suspect meningitis in a 4-month-old infant due to the infant's young age and vulnerability to infections.
To address this condition, the nurse should notify the healthcare provider immediately for further evaluation and initiation of appropriate treatment such as antibiotics. The nurse should monitor the infant's vital signs, neurological status, and response to treatment to assess progress. Meningitis can be life-threatening, especially in infants, so early recognition and intervention are crucial.
B: Hydrocephalus is characterized by an abnormal accumulation of cerebrospinal fluid in the brain, causing increased intracranial pressure. This is not typically associated with a 4-month-old infant presenting in the emergency department.
C: Intracranial hemorrhage may present with symptoms such as vomiting, irritability, seizures, or altered mental status. While it is a serious condition, it is less common in infants compared to meningitis.
D: Sepsis is a systemic
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Question 2 of 5
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Question 5 of 5
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