The nurse is caring for a 9-month-old infant who just returned from the postanesthesia care unit (PACU) after a shunt placement for hydrocephalus. Which healthcare provider prescription should the nurse question?
1. Vital signs and neurologic checks hourly
2. Small, frequent formula feedings
3. Elevate head of bed
4. Daily head circumference
3
Explanation:
1. Frequent vital signs and neurologic checks are needed postoperatively.
2. Small, frequent feedings are appropriate to decrease the chance of vomiting.
3. The 9-month-old should be placed in a flat position so that cerebrospinal fluid drainage is not too rapid.
4. Daily head circumferences are needed to help evaluate shunt functioning.
You might also like to view...
The nurse employed at an extended-care facilities is aware that which of the following conditions are MOST likely to contribute to a decline in functional abilities?
a. influenza and urinary tract infections b. pneumonia and renal stones c. pneumonia and urinary tract infections d. upper respiratory infections and constipation
Ventricular enlargement noted in brain studies of patients diagnosed with Alzheimer's disease is most likely attributable to
a. narrowing of the subarachnoid space. b. overproduction of cerebrospinal fluid. c. blockage of cerebrospinal fluid outflow. d. brain atrophy associated with cellular degeneration.
What is the most important intervention for extravasation of an IV chemotherapy drug?
a. Ensure that the drug given is the exact drug and dosage ordered. b. Administer the chemotherapy through an 18-gauge IV catheter. c. Instruct the patient to keep his or her arm below heart level. d. Prevent extravasation from ever occurring.
Effective communication skills or nursing actions when caring for the patient with dementia is/are: (SELECT ALL ANSWERS THAT APPLY)
A) Document all changes in the patient's condition. B) Keep televisions and radios on whenever possible to encourage patient interaction. C) Allow more time for performing cares. D) Emphasize "reality orientation." E) Encourage in dependent decision-making. F) Provide group therapy opportunities