ATI PEDS PROCTORED UPDATED FINAL EXAM 2023-2024/PEDS ATI PROCTORED UPDATED FINAL EXAM TEST BANK 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|A +GRADED A nurse is creating a plan of care for an infant who has an epidural hematoma with a skullfracture. Which of the following actions should the nurse include in the plan? A- Position the infant side lying with her head at a 0 - 5 degree angle B- monitor the infant for tachycardia to prevent brain stem herniation C- suction the infant snares every two hours while awake to maintain patency D- implements seizure precautions for the infants Answer- d The nurse should implement seizure precautions for an infant who has an epidural hematomaas a safety measure A- The nurse should position the infant with her head elevated in a midline position to reducethe risk of increased intracranial pressure. B- The nurse should monitor for indications of brainstem herniation, which include Cushing'striad: hypertension, bradycardia, and decreased respirations. C- The nurse should avoid suctioning the infant's nares due to the risk of exposure of the suctioncatheter to the brain through the fracture. A nurse in an emergency department is performing a physical assessment on a 2 week old male