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).

Answer and Explanation

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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Correct Answer is B

Explanation

A. Applying lidocaine/prilocaine cream 10 minutes prior would not be sufficient; it generally requires 30–60 minutes to be effective.

B. Flexing the chin to the chest and knees to the abdomen is the correct positioning for an infant during a lumbar puncture.

C. Keeping an infant NPO for 6 hours is unnecessary before a lumbar puncture.

D. Placing the infant in an infant seat post-procedure is not required; flat positioning is generally advised.

A. "Milestones are often delayed for children with Down Syndrome." B. "We should ask a physical therapist to address your concern." C. "How many other children do you and your husband have?" D. "How old was your child when he or she first begin to smile?"

Correct Answer is A

Explanation

A. Children with Down syndrome often experience developmental delays, and explaining this helps reassure the parent.

B. While a physical therapist may be helpful, the nurse should first address the parent's concerns with information.

C. Asking about siblings does not address the parent's specific concern.

D. Asking about other milestones may shift focus away from the parent's immediate worry.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?

Correct Answer is B

Explanation

The clinic nurse talks with the parent of a child with Down syndrome. The parent states, "I thought my 1-year-old would be walking by now. I am concerned." What response by the nurse is best?

Correct Answer is A

Explanation

A 13 year old adolescent is brought to the Emergency Department after a near-drowning/submersion event. The child is coughing and having difficulty breathing. 02 saturation is 90% in room air, RR=26/min, HR=102/min. What is the priority intervention for the nurse to take?

A nurse in the emergency department is caring for a 10-year old child who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

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A mother is telling the school nurse about her concerns regarding her 13-year-old daughter, who reports headaches. The child's grades have dropped, and the child is sleeping late and going to bed early every night. Which would the nurse identify as the priority?

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