The nurse is preparing teaching for the parents of a newborn with a newly-placed ventriculoperitoneal shunt. What should the nurse include in this teaching? Select all that apply

Restrict the intake of fruit, vegetables, and fluid

Expect to have the shunt replaced as the child grows

Examine the site every year for signs of swelling or redness

Observe the child for signs of increased intracranial pressure

Notify the health provider if the child develops a fever

Answer and Explanation

Correct Answer : B,D,E

A. Restrict the intake of fruit, vegetables, and fluid: There is no need to restrict the intake of fruit, vegetables, or fluids for a child with a ventriculoperitoneal (VP) shunt. Maintaining proper hydration and nutrition is essential for overall health, and a balanced diet is encouraged.

B. Expect to have the shunt replaced as the child grows: As the child grows, the ventriculoperitoneal shunt may need to be replaced or adjusted to accommodate the growing head and body. This is an important aspect of long-term management of the condition.

C. Examine the site every year for signs of swelling or redness: It is important to monitor the shunt site daily or regularly, more frequently than once a year. Parents should be taught to check the site for signs of infection, swelling, or redness and to notify the healthcare provider if any of these occur.

D. Observe the child for signs of increased intracranial pressure: Increased intracranial pressure (ICP) is a critical concern for children with a VP shunt. Symptoms such as vomiting, lethargy, irritability, or changes in behavior may indicate increased ICP, which requires immediate medical attention.

E. Notify the health provider if the child develops a fever: A fever can be a sign of infection, which could indicate a complication with the shunt, such as an infection of the shunt or its components. Parents should notify the healthcare provider promptly if the child develops a fever.

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Correct Answer is C

Explanation

A. Preventing the infant from vomiting: While preventing vomiting is important to avoid putting pressure on the surgical site, it is not the most immediate concern after a cleft lip repair. Postoperative care focuses on protecting the surgical site and preventing trauma to the lip.

B. Keeping the infant in a prone position: The infant should be kept in a position that avoids pressure on the surgical site. In most cases, the infant is kept in a supine or side-lying position to prevent direct pressure on the repair site and promote healing.

C. Preventing crust formation on the suture line: Preventing crust formation is crucial to prevent infection, scarring, or trauma to the surgical repair site and to achieve a good cosmetic outcome. Crusts on the suture line can disrupt healing and should be avoided by gentle cleaning and application of prescribed ointments.

D. Protecting the infant's tongue from swelling: While protecting the infant's tongue is important in general, it is not the primary concern after cleft lip repair. The focus should be on protecting the lip repair site, as this is where the surgical intervention took place.

A. Abdominal discomfort B. Intestinal obstruction C. Contaminating flatulence D. Pressure on the incision line

Correct Answer is D

Explanation

A. Abdominal discomfort: While burping can help relieve some discomfort after feeding, the primary concern following pyloric stenosis surgery is avoiding pressure on the incision line, rather than just abdominal discomfort.

B. Intestinal obstruction: Burping after feedings can help reduce the buildup of air in the stomach, but it is not directly aimed at preventing intestinal obstruction. Obstruction is more related to the surgical site and healing process, not the burping.

C. Contaminating flatulence: Flatulence is not a concern related to burping after pyloric stenosis surgery. Burping is done to release air swallowed during feeding, not to manage flatulence.

D. Pressure on the incision line: Burping helps to release any air swallowed during feeding, reducing abdominal distention and minimizing pressure on the surgical site. This is important to ensure proper healing and comfort after the procedure.

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The nurse is preparing teaching for the parents of a newborn with a newly-placed ventriculoperitoneal shunt. What should the nurse include in this teaching? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

On the second day after a surgical repair for a cleft lip, which of the following would be most important?

Correct Answer is C

Explanation

Following surgery for pyloric stenosis, an infant should be burped well following feedings primarily to prevent:

Correct Answer is D

Explanation

What information would the nurse include when teaching the parents of an infant about colic?

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