A 2-day-old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt. Which nursing intervention(s) should the practical nurse (PN) implement during postoperative care? (Select all that apply.)

Measure head circumference dally.

Document strict intake and output.

Irrigate shunt and pump valve every 12-hours.

Monitor body temperature every 4-hours.

Answer and Explanation

Correct Answer : A,B,D

A.   Measure head circumference daily. - Monitoring head circumference is crucial to detect changes that might indicate increased intracranial pressure after the shunt placement.
B.   Document strict intake and output. - Monitoring fluid intake and output helps assess the infant's hydration status and shunt functionality.
C.   Irrigate shunt and pump valve every 12-hours. - Shunt irrigation should be performed by specialized healthcare professionals, not typically by a practical nurse.
D.   Monitor body temperature every 4 hours. - Postoperative monitoring includes assessing for signs of infection or systemic changes, which might be indicated by changes in body temperature.
E.   Place in Trendelenburg position. - The Trendelenburg position is not typically recommended post-ventriculoperitoneal shunt placement and should be avoided unless specifically prescribed by the healthcare provider.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Call the healthcare provider and clarify the prescription. - If the PN suspects an error in a prescription, especially regarding a child's dosage, it's imperative to communicate concerns to the healthcare provider for clarification and potential adjustment.
B. Request verification of the prescription by the charge nurse. - While involving another nurse might provide a second opinion, it's crucial to involve the prescriber to rectify any potential prescription errors.
C. Tell the pharmacy to send an accurate child's dosage. - The prescription should be confirmed with the healthcare provider before any medication is dispensed or administered.
D. Ask another nurse if adult dosages are ever given to children. - While seeking information from peers is valuable, this situation calls for direct clarification from the prescriber to ensure proper dosing for the child.

A. Term 6, Premature 3, Abortion 3, Living 2. B. Term 2, Premature 3, Abortion 3, Living 2. C. Term 2, Premature 1, Abortion 0, Living 3. D. Term 3, Premature 0, Abortion 3, Living 2.

Correct Answer is D

Explanation

A. Term 6, Premature 3, Abortion 3, Living 2. This choice is incorrect because it counts each miscarriage as both a term and a premature birth. A term birth is one that occurs after the completion of the 37th week of gestation. A premature birth is one that occurs before the completion of the 37th week of gestation. A miscarriage is a pregnancy loss that occurs before the completion of the 20th week of gestation.

B. Term 2, Premature 3, Abortion 3, Living 2. This choice is incorrect because it counts each miscarriage as a premature birth. A miscarriage is not a premature birth because it occurs before the viability of the fetus.

C. Term 2, Premature 1, Abortion 0, Living 3. This choice is incorrect because it does not count the miscarriages as abortions. An abortion is any pregnancy loss that occurs before the completion of the 20th week of gestation, regardless of whether it is spontaneous or induced.

D. Term 3, Premature 0, Abortion 3, Living 2. This choice is correct because it accurately reflects the client's obstetrical history. The client has had three term births (two living children and one current pregnancy), no premature births, three abortions (all miscarriages in the first trimester), and two living children.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 2-day-old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt. Which nursing intervention(s) should the practical nurse (PN) implement during postoperative care? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

Prior to an invasive examination of a hospitalized client, a consent form should be obtained. Which action best describes the responsibility of the practical nurse (PN)?

A highly successful businessman presents to the community mental health center complaining of sleeplessness and anxiety over his financial status. Which action should the practical nurse (PN) take to assist this client in diminishing his anxiety?

When assessing a client at 38-weeks gestation, the practical nurse (PN) determines that she has one set of female twins, who are now 6 years old, a son who is 4 years old, and last year she had a fetal loss at 24-weeks gestation. Which is the correct gravidity and parity for this client?

A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically. The parent tells the practical nurse (PN) that the child screams in pain even with a light touch. The child is short of breath and anxious. Which manifestations warrant immediate intervention by the PN?

When a small fire breaks out in the kitchen of a long-term care facility, which task should be performed by the practical nurse (PN) rather than the unlicense assistive personnel (UAP)?

The practical nurse (PN) overhears a conversation between an unlicensed assistive personnel (UAP) and another staff member in the hospital cafeteria line concerning a client's reaction to being given a diagnosis of terminal cancer. What is the best nursing action?

During a clinic visit, the practical nurse (PN) observes an infant sucking on a pacifier that is made from a bottle nipple and stuffed with cotton. What should the PM do?