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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A history and physical examination is crucial to identify any underlying health issues.
B. A psychologist may help if mental health concerns are identified but is not the first priority.
C. Psychometric testing may be necessary later but is not an immediate priority.
D. Talking to the teacher may provide context but does not address the primary health concern.
Correct Answer is C
Explanation
A. Fever and photophobia are common symptoms of meningitis but do not indicate increased ICP.
B. Increased heart and respiratory rates are not specific signs of increased ICP.
C. Headache and vomiting are classic signs of increased ICP in children with meningitis.
D. A bulging anterior fontanelle may indicate increased ICP in infants, but this is not applicable to a 5-year-old.
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