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 A

Explanation

A. The nurse should avoid manipulating the stent or dressings to prevent dislodging or introducing infection.
B. Tub baths should be avoided until healing occurs, typically after the wound has been sufficiently healed.
C. Fluid restriction is not necessary unless prescribed for another condition.
D. Anticholinergic medications are not indicated unless there is a specific need, such as managing bladder spasms.

A. DMD is an inherited X-linked recessive trait B. Most Clients with DMD are wheelchair dependent by age 12 C. The disease leads to progressive muscle degeneration. D. Clients with DMD are never able to ambulate independently. E. Disease progression always requires hospitalization

Correct Answer is ["A","B","C"]

Explanation

A. Duchenne muscular dystrophy is caused by a mutation in the dystrophin gene, which is X-linked, meaning it is passed down from carrier mothers to affected sons. It primarily affects boys.
B. Children with DMD usually lose the ability to walk by the age of 12 due to progressive muscle weakness.
C. DMD is characterized by the progressive degeneration and weakness of the skeletal muscles, leading to loss of function over time.
D. While most children with DMD will become wheelchair-bound, some may be able to ambulate independently until the early teenage years, before losing the ability to walk.
E. Hospitalization is not always required for DMD. Treatment may include outpatient therapies and management of symptoms. The need for hospitalization depends on complications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 2-month-old infant with epispadias post-op surgical revision with a stent placement. What interventions should the nurse expect during post op care?

Correct Answer is A

Explanation

A nurse is caring for a child with a diagnosis of Duchenne's muscular dystrophy (DMD). The nurse should recognize that which of the following accurately describes Duchenne muscular dystrophy (DMD)? (Select All that Apply.)

Correct Answer is ["A","B","C"]

Explanation

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