An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the priority nursing intervention in the preoperative period?

Test the urine for protein

Reposition the infant frequently.

Assess blood pressure every 15 minutes

Provide a stimulating environment

Answer and Explanation

The Correct Answer is B

A. Test the urine for protein.
Explanation: Testing urine for protein is not a priority nursing intervention in the preoperative period for an infant with hydrocephalus. The focus is on preventing complications related to immobility and positioning.
B. Reposition the infant frequently.
Explanation:
Repositioning the infant frequently is a crucial intervention to prevent complications such as pressure ulcers (bedsores). Infants with hydrocephalus may be at an increased risk of skin breakdown due to prolonged immobility and pressure on specific areas. Repositioning helps distribute pressure, improves circulation, and reduces the risk of skin breakdown.
C. Assess blood pressure every 15 minutes.
Explanation: While monitoring blood pressure is important in certain situations, it is not typically the priority for an infant with hydrocephalus in the preoperative period. The focus is on preventing skin breakdown through repositioning.
D. Provide a stimulating environment.
Explanation: While providing a stimulating environment can be beneficial for infant development, it is not the priority in the preoperative period for an infant with hydrocephalus. The primary concern is addressing potential complications related to immobility, such as skin breakdown.

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Free Nursing Study Resources

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

Explanation

A. "The manifestations are lessened by taking the prednisone every other day instead of daily."
Correct Answer: Cushingoid characteristics can be associated with long-term corticosteroid use. Taking prednisone every other day, rather than daily, can help minimize these manifestations while still providing the needed therapeutic effect.
B. "You need to be sure to talk to the doctor about the Cushingoid characteristics."
Incorrect: While it is important for the parents to communicate with the doctor, this statement is less therapeutic than option 3, which opens up a more collaborative and supportive conversation.
C. "Which manifestations of this condition do you find most troublesome?"
Correct Answer: This open-ended question allows the parents to express their concerns and frustrations. It facilitates communication between the parents and healthcare provider to address specific issues they find most troublesome.
D. "I am sure it will be all right; they hardly look unusual."
Incorrect: Downplaying the parents' concerns may not be the most therapeutic approach. Acknowledging their concerns and providing information about the reversible nature of cushingoid characteristics would be more helpful.
E. "The cushingoid appearance will gradually disappear once the corticosteroids are tapered and discontinued."
Correct Answer: Cushingoid characteristics are reversible, and they tend to improve as the dose of corticosteroids is tapered and eventually discontinued.

A. 9 months B. 12 months C. 6 months D. 3 months

Correct Answer is C

Explanation

A. 9 months: By 9 months, most infants would have well exceeded doubling their birth weight.
B. 12 months: Doubling of birth weight usually occurs earlier, by around 5 to 6 months, rather than 12 months.
C. 6 months
Explanation:
The general guideline is that infants tend to double their birth weight by around 5 to 6 months of age. This doubling of birth weight is a common marker of healthy growth and development during the first few months of life.
D. 3 months: By 3 months, while infants experience significant growth, they usually haven't doubled their birth weight yet.

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An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the priority nursing intervention in the preoperative period?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?

Correct Answer is C

Explanation

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