What would be most appropriate to include in the plan of care for a child who has undergone surgery for removal of an astrocytoma?
A) Elevating the foot of the bed
B) Positioning the child on his unaffected side
C) Raising the head of the bed at least 45 degrees
D) Administering large volumes of intravenous fluids
Ans: B
Postoperatively, the nurse should position the child on his unaffected side, with the head of the bed flat or at the level prescribed by the neurosurgeon. The foot of the bed is not elevated to prevent increasing intracranial pressure and contributing to bleeding. Fluids are administered carefully to avoid excess fluid intake, which would cause or worsen cerebral edema.
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