The nurse is discussing long-term care with the parents of a child who has a ventriculoperitoneal shunt. What issues should be addressed?
a. Most childhood activities must be restricted.
b. Cognitive impairment is to be expected with hydrocephalus.
c. Wearing head protection is essential until the child reaches adulthood.
d. Shunt malfunction or infection requires immediate treatment.
ANS: D
Because of the potentially severe sequelae, symptoms of shunt malfunction or infection must be assessed and treated immediately. Limits should be appropriate to the child's developmental age. Except for contact sports, the child will have few restrictions. Cognitive impairment depends on the extent of damage before the shunt was placed.
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A) Diagnostic reasoning B) Physical assessment C) Critical thinking D) Nursing care plan
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