The nurse provides education to the parent of an infant being treated for hydrocephalus with a ventriculoperitoneal (VP) shunt. Which statement by the parent indicates the need for further instruction?
I will watch my baby for irritability and difficulty feeding
This shunt is the only surgery my baby will need.
The VP shunt will help drain fluid from my baby's brain.
My baby's cerebrospinal fluid is causing increased intracranial pressure (ICP).
The Correct Answer is B
A. Irritability and difficulty feeding may indicate shunt malfunction, so monitoring these signs is appropriate.
B. VP shunts may require additional surgeries for adjustments, replacements, or complications, so this statement shows a misunderstanding.
C. The VP shunt does help drain excess cerebrospinal fluid from the brain to relieve pressure.
D. Increased intracranial pressure (ICP) from cerebrospinal fluid buildup is the reason for using the VP shunt.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Treatment for Rh isoimmunization can include interventions such as intrauterine transfusions, which carry risks of inducing premature labor.
B. In some cases, treatment might not fully resolve the isoimmunization, potentially worsening the condition, especially if not properly monitored.
C. Any invasive procedure, including those performed to treat HDN, increases the risk of infection, both for the mother and the fetus.
D. Hardening of the membrane is not a recognized risk related to the treatment of isoimmunization.
E. Increased fetal heart rate may occur due to stress or complications but is not a direct risk of treatment.
F. Severe labor pain can occur in any labor situation but is not specifically associated with the treatment of HDN.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
Acute kidney injury: Clients with significant burns are at risk for acute kidney injury due to fluid shifts, decreased blood pressure, and potential inadequate perfusion to the kidneys.
Urine output: Maintaining adequate urine output (30 mL/hr) is a critical marker for renal perfusion. The need for strict monitoring suggests that decreased urine output could indicate kidney function compromise.
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