Essential postoperative nursing management of a child after removal of a brain tumor includes which nursing care?
a. Turning and positioning every 2 hours
b. Measuring all fluid intake and output
c. Changing the dressing when it becomes soiled
d. Using maximum lighting to ensure accurate observations
ANS: B
After brain surgery, cerebral edema is a risk. Careful monitoring is essential. All fluids, including intravenous antibiotics, are included in the intake. Turning and positioning depend on the surgical procedure. When large tumors are removed, the child is usually not positioned on the operative side. The dressing is not changed. It is reinforced with gauze after the amount of drainage is marked and estimated. A quiet, dimly lit environment is optimum to decrease stimulation and relieve discomfort such as headaches.
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