A nurse is providing discharge teaching to the parents of a school-age child following the placement of a ventriculoperitoneal shunt. The nurse should determine that the teaching was effective when the parents identify which of the following as an indicator that the shunt has been displaced?
Decreased urine output
Increased sleeping
Hyperactive bowel sounds
Elevated temperature
The Correct Answer is D
Choice A reason: Decreased urine output is not directly related to ventriculoperitoneal shunt displacement. It may indicate other issues such as dehydration or kidney problems.
Choice B reason: Increased sleeping is not a specific indicator of shunt displacement. While it may be a concern if there are significant changes in the child's sleep patterns, it is not a definitive sign of this complication.Choice C reason: Hyperactive bowel sounds are not associated with shunt displacement. They may indicate gastrointestinal issues but are not relevant to the function of a ventriculoperitoneal shunt.
Choice D reason: An elevated temperature can be an indicator of shunt displacement, as it may suggest an infection or other complications related to the shunt. Parents should be aware of this sign and seek medical attention if it occurs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Treating everyone who came into close contact with the child is essential because scabies is highly contagious. The mites that cause scabies can easily spread to others through direct skin contact or by sharing personal items.
Choice B reason: Soaking combs and brushes in boiling water for 10 minutes is a good practice to kill any mites that may be present. However, it is not the primary method of treating scabies, which requires medication.
Choice C reason: Washing the child's hair with shampoo containing ketoconazole is not a standard treatment for scabies. Ketoconazole is an antifungal medication, and scabies is caused by mites, not fungi.
Choice D reason: Applying petroleum jelly to the affected areas is not an effective treatment for scabies. Scabies requires prescription medications, such as topical permethrin or oral ivermectin, to eliminate the mites.
Correct Answer is C
Explanation
Choice A reason: The concrete operational phase typically begins around age 7 and is characterized by the development of logical thought about concrete events. This phase is not typical for preschoolers, who are usually between the ages of 3 and 5.
Choice B reason: The formal operational phase usually starts at age 11 or older. It involves abstract thinking and the ability to systematically plan for the future, which is beyond the cognitive abilities of a preschooler.
Choice C reason: The preoperational phase occurs from ages 2 to 7. During this stage, children begin to engage in symbolic play and learn to manipulate symbols, but they do not yet understand concrete logic.
Choice D reason: The sensorimotor phase is from birth to about age 2. During this stage, infants learn about the world through their senses and actions, such as looking and touching. Preschoolers have typically moved beyond this phase.
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