A child with cerebral palsy has undergone surgery for placement of a baclofen pump. Which instruction would the nurse include when teaching the parents about caring for their child?
A) Waiting 48 hours before allowing the child to take a tub bath
B) Not allowing the child to sleep on his side for about 4 weeks
C) Calling the physician if the child's temperature is over 100.5°F
D) Discouraging the child from stretching or bending forward for 4 weeks
Ans: D
After insertion of a baclofen pump, the parents should discourage any twisting at the waist, reaching high overhead, stretching, or bending forward or backward for 4 weeks. The child would avoid tub baths for about 2 weeks and avoid sleeping on his stomach for 4 weeks. The parents should notify the physician or nurse practitioner if the child's temperature is greater than 101.5°F.
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