Which nursing intervention should not be included in the postoperative plan of care for a child undergoing surgery for a brain tumor?
a. Position with head lower than body.
b. Perform neurological assessments.
c. Assess dressings for drainage.
d. Monitor temperature.
A
The child is never placed in the Trendelenburg position because it increases intracranial pressure and the risk of bleeding. Increased intracranial pressure is a risk in the postoperative period. The nurse would assess the child's neurological status frequently. Hemorrhage is a risk in the postoperative period. The child's dressing would be inspected frequently for bleeding. Temperature is monitored closely because the child is at risk for infection in the postoperative period.
You might also like to view...
A client tells the nurse that he has been meditating for several months and has noticed a reduction in stress and blood pressure. The nurse knows that meditating can also:
a. improve immune system functioning. b. increase oxygen consumption. c. raise the heart rate. d. raise the blood pressure.
A nurse is educating a patient about the process of digestion. The nurse teaches that digestion begins in the
1. Mouth. 2. Stomach. 3. Intestines. 4. Esophagus.
The nurse determines some client care tasks can be delegated to the UAP. Which task should not be delegated?
A. Performing foot care for a client with diabetes. B. Changing an occupied bed for a client with multiple intravenous medications infusing. C. Performing a bath for a newborn with an unhealed umbilical cord. D. Oral care for an unconscious client.
Which statements by the mother of a toddler would lead the nurse to suspect that the child has iron-deficiency anemia?
A. "He drinks over 3 cups of milk per day." B. "I can't keep enough apple juice in the house; he must drink over 10 ounces per day." C. "He refuses to eat more than 2 different kinds of vegetables." D. "He doesn't like meat, but he will eat small amounts of it." E. "He sleeps 12 hours every night and take a 2-hour nap."