You are the nurse assigned to work with a child who has just returned from the recovery room postoperatively for placement of a shunt as a treatment for hydrocephalus. Which of the following positions will you place this child in?
a. elevated 45 degrees in a supine position c. flat and lying on the operated side
b. flat and lying on the unoperated side d. elevated 30 degrees and prone
B
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A Incorrect. This child will not be elevated 45 degrees in a supine position.
B Correct. A child who has just returned from the recovery room postoperatively for placement of a shunt as a treatment for hydrocephalus will be placed flat and lying on the unoperated side to prevent rapid CSF drainage and pressure on the valves. If CSF is drained too quickly, the child is at risk for a subdural hematoma caused by tears in the vessels secondary to the cerebral cortex pulling away from the dura.
C Incorrect. This child will be positioned flat, but not on the operated side.
D Incorrect. This child will not be elevated 30 degrees and prone.
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