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7 an infant with hydrocephalus has a

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7. An infant with hydrocephalus has a ventriculoperitoneal shunt inserted. Immediatelyfollowing the procedure, which nursing action would best prevent decompression fromexcessive CSF flow?A)Elevating the infant's head 60 degreesB)Keeping the head of the infant level with the bodyC)Avoiding exercising the upper extremities during bathingD)Positioning the infant with the head dependent to the bodyAns: BFeedback:: Following the surgery for the initial shunt insertion, the infant's bed should be left flator raised only about 10 degrees so the head remains level with the body. This is toensure that CSF does not flow too rapidly, possibly leading to tearing of cerebralarteries or signs of too rapid decompression. The infant's head should not be raised 60degrees. Upper extremity exercise is not contraindicated after placement of the shunt.The patient's head should not be positioned dependent to the body.
Page 48. The nurse is preparing teaching for the parents of a newborn with a newly placedventriculoperitoneal shunt. What should the nurse include in this teaching? (Select allthat apply.)A)Restrict the intake of fruit, vegetables, and fluid.B)Expect to have the shunt replaced as the child grows.C)Examine the site every day for signs of swelling or redness.D)Notify the health care provider if the child develops a fever.E)Observe the child for signs of increased intracranial pressure.Ans: B, C, D, EFeedback:: Teaching for the parents of a child with a newly placed ventriculoperitoneal shuntshould include encouraging the intake of fruit, vegetables, and fluid to preventconstipation; expecting to have the shunt replaced as the child grows; examining the siteevery day for signs of redness or swelling; notifying the health care provider if the childdevelops a fever; and observing for signs of increased intracranial pressure.9. The nurse is checking a newborn for the presence of Ortolani and Barlow signs. Forwhich health problem are these assessments used?A)Club footB)Cleft palateC)Hip dysplasiaD)Tracheoesophageal fistulaAns: CFeedback:: Ortolani and Barlow signs are used to assess for the presence of hip dysplasia. Thesetechniques assess for hip clicking and femoral head slipping. These signs are not used toassess for club foot, cleft palate, or tracheoesophageal fistula.10. A newborn is scheduled for casting to correct a talipes disorder. What should the nurseinstruct the parents about the height of the cast?A)To the calfB)Above the kneeC)At the level of the hipD)Above the level of the waistAns: BFeedback:: For correction of a talipes disorder, a series of casts or braces are applied to graduallymold the foot into good alignment. Although the disorder involves the ankle, the cast orbrace extends above the knee to ensure firm correction. The cast does not stop at thecalf. The cast also does not extend to the hip or to the waist.

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Term
Spring
Professor
N/A
Tags
Nursing, The Bible, Health care provider, Child Health Nursing, Childbearing and Childrearing Family, The Unconscious,

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