The nurse is caring for a child who has had a ventriculoperitoneal shunt (VP) for hydrocephalus and observes an increasing abdominal girth. What is the most appropriate response?
a. Elevate the child's head.
b. Check bowel sounds.
c. Record retention of feeding.
d. Notify the charge nurse of possible malabsorption.
ANS: D
An increasing abdominal girth in a child with a VP shunt may be indicative of malabsorption of the cerebrospinal fluid (CSF) that is being shunted to the peritoneum.
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