lease help me answer ALL the letters with the CORRECT answers. 2. Following the insertion of an atrioventricular shunt, the nurse evaluates the function of the shunt by: A. Observing the Symmetrical Moro reflex B. Palpating child's anterior fontanel C. Noting the frequency of voiding D. Assessing for the peri-orbital edema 3. On the day after surgery for insertion of a VP shunt for hydrocephalus, the infant's temperature is 39.5 Celsius. The nurse should first notify the physician & then; A. Recheck the temperature in 2 hours B. Record the temperature on the infant's chart C. Remove any excess clothing from the infant D. Sponge the infant with tepid alcohol 4. Upon returning from surgery for placement of a VP shunt for hydrocephalus, the nurse should place the child in; A. Semi Fowler's position on the operative side B. Low-fowler's position on the operative side C. A flat position on the unoperative side~ D. Sim's position on the operative site 5. The patient with patent ductus arteriosus being assessed by the nurse and has the following findings: slow capillary refill, facial pallor, cool and clammy skin. The nurse may prioritize this nursing diagnosis: A. Decreased cardiac output B. Impaired skin integrity C. Ineffective breathing pattern D. Fluid volume deficit 6. A child undergoes heart surgery to repair the defects associated with Tetralogy of Fallot. Post-operatively it is essential that the nurse prevent: A. Unnecessary movement B. Coughing C. Constipation D. Crying
Please help me answer ALL the letters with the CORRECT answers.
2. Following the insertion of an atrioventricular shunt, the nurse evaluates the function of the shunt by:
A. Observing the Symmetrical Moro reflex
B. Palpating child's anterior fontanel
C. Noting the frequency of voiding
D. Assessing for the peri-orbital edema
3. On the day after surgery for insertion of a VP shunt for hydrocephalus, the infant's temperature is 39.5 Celsius. The nurse should first notify the physician & then;
A. Recheck the temperature in 2 hours
B. Record the temperature on the infant's chart
C. Remove any excess clothing from the infant
D. Sponge the infant with tepid alcohol
4. Upon returning from surgery for placement of a VP shunt for hydrocephalus, the nurse should place the child in;
A. Semi Fowler's position on the operative side
B. Low-fowler's position on the operative side
C. A flat position on the unoperative side~
D. Sim's position on the operative site
5. The patient with patent ductus arteriosus being assessed by the nurse and has the following findings: slow capillary refill, facial pallor, cool and clammy skin.
The nurse may prioritize this nursing diagnosis:
A. Decreased cardiac output
B. Impaired skin integrity
C. Ineffective breathing pattern
D. Fluid volume deficit
6. A child undergoes heart surgery to repair the defects associated with Tetralogy of Fallot. Post-operatively it is essential that the nurse prevent:
A. Unnecessary movement
B. Coughing
C. Constipation
D. Crying
Step by step
Solved in 2 steps
