A nurse is caring for a child who has undergone a Ventriculoperitoneal (VP) shunt placement procedure. The nurse is aware of the need for careful prioritization of care. Which of the following actions should the nurse prioritize for this child?

Administering pain medication as needed

Providing a low-sodium diet to prevent fluid overload

Encouraging the child to ambulate as soon as possible

Assessing vital signs every 4 hours

Answer and Explanation

The Correct Answer is D

A.   While pain management is important, the priority is assessing for complications that could arise after the procedure.
B.   Discharge teaching is important, but the priority immediately after the procedure is monitoring for complications.
C.   While hydration is important, it is not the immediate priority following VP shunt placement, where the focus should be on assessing for signs of complications.
D.   Regular monitoring of vital signs is crucial to detect complications such as shunt malfunction, infection, or increased intracranial pressure.

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Correct Answer is C

Explanation

A. Administering an antiemetic only when the child complains of nausea may not be effective in preventing chemotherapy-induced nausea.
B. Encouraging drinking fluids is important, but it is not the most effective way to manage nausea.
C. Administering an antiemetic before chemotherapy begins is the best approach to prevent nausea and vomiting associated with chemotherapy.
D. Skipping meals may contribute to nausea and malnutrition, so this is not an appropriate approach.

A. Administering penicillin B. Administering corticosteroids if chorea develops C. Avoiding salicylates (aspirin) D. Imposing strict bed rest for 4 to 6 weeks

Correct Answer is A

Explanation

A. Penicillin is used to eradicate the group A streptococcus bacteria that cause rheumatic fever, preventing further complications such as heart damage.
B. Corticosteroids may be used to manage symptoms of chorea (involuntary movements), but the primary treatment for rheumatic fever involves antibiotics like penicillin to eradicate the infection.
C. Salicylates (aspirin) are often used to manage the inflammation and fever associated with rheumatic fever, so they are not avoided. This choice is incorrect.
D. Bed rest is only indicated if the child has severe carditis, not as a routine measure for all children with rheumatic fever.

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A nurse is caring for a child who has undergone a Ventriculoperitoneal (VP) shunt placement procedure. The nurse is aware of the need for careful prioritization of care. Which of the following actions should the nurse prioritize for this child?

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