Postoperative positioning for a child who has had a medulloblastoma brain tumor (infratentorial) removed should be which?
a. Trendelenburg
b. Head of bed elevated above heart level
c. Flat on operative side with pillows behind the head
d. Flat, on either side with pillows behind the back
ANS: D
The child with an infratentorial procedure is usually positioned flat and on either side. Pillows should be placed against the child's back, not head, to maintain the desired position. The Trendelenburg position is contraindicated in both infratentorial and supratentorial surgeries because it increases intracranial pressure and the risk of hemorrhage.
You might also like to view...
A nurse reads in a patient's chart that the Bethesda system terminology used to describe her cervical cytology and histology is AIS. What can the nurse conclude about this woman's treatment?
A. Follow-up in 1 month B. Possible chemotherapy C. Repeat test in 3 months D. Use of luprolide (Lupron)
The nurse planning health teaching for a client with generalized anxiety disorder who is taking
lorazepam (Ativan) should include information about the need for (more than one answer may be correct) A. a tyramine-free diet. B. caffeine restriction. C. use of care with machinery. D. avoidance of alcohol and other sedatives.
A patient is recovering from intracranial surgery that was performed using the transsphenoidal approach. The nurse should be aware that the patient may have required surgery on what neurologic structure?
A) Cerebellum B) Hypothalamus C) Pituitary gland D) Pineal gland
A 28-year-old business executive has been feeling increasingly depressed over the past few months. She reports feeling overwhelmed by the pressures of her job. "I tend not to see the many things I do well," she states
The client has a meeting with her regional supervisor this week. Which technique should a nurse psychotherapist plan to use to prepare the client for the meeting? A) Socratic questioning B) Activity scheduling C) Distraction D) Cognitive rehearsal