The nurse is preparing discharge teaching for the parents of a 7-year-old boy with hydrocephalus and a ventriculoperitoneal shunt. Which information does the nurse include in the discharge teaching? (Select all that apply.)
A.
After the shunt site has healed, contact sports are permitted
B.
How to accurately take the child's temperature when needed
C.
Monitoring for shunt infection is always a priority action.
D.
Report any nausea, vomiting, or change in behavior.
E.
Shunt removal can occur after hydrocephalus has been controlled.
ANS: B, C, D
Parents are taught how to care for their child after shunt placement. They need to know common signs of infection (fever, nausea, vomiting, change in behavior), how to take a temperature, and that contact sports are not permitted. Because hydrocephalus is a lifelong condition, monitoring for infection is ongoing and the shunt stays in place permanently.
You might also like to view...
Patients may have difficulty in meeting treatment goals for which reasons? (Select all that apply.)
a. Lack of understanding of the goals b. Incongruity between patient and nursing goals c. Compliance with all aspects of the treatment plan d. Limited financial resources e. Limited time available
From what do most quality-of-care problems in home health care result? (Select all that apply.)
a. Patient's noncompliance b. Family's reluctance to participate in the care c. Inadequate documentation d. Limited funding e. Defective communication among care team members
While preparing for the discharge of a terminally ill older adult patient, the family asks for information concerning the most appropriate time to become involved with a hospice agency. Which action by the nurse is most correct?
1. Assist the family with making contact with a hospice agency at this time. 2. Determine the patient's life expectancy to gauge when the contact should be made. 3. Encourage the family to "hold off" making the contact until death is very close. 4. Determine what expectations the family has of the hospice agency.
Swelling of a body part as a result of lymphatic obstruction is labelled
a) lymphoedema b) lymphadenopathy c) atrophic change d) central cyanosis