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JamiLC JamiLC
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6 years ago
In caring for an infant who has had a ventriculoperitoneal (VP) shunt, the nurse will include in the plan of care: (Select all that apply.)
 
  a. Taking daily head measurements
  b. Taking daily abdominal measurements
  c. Positioning on the stomach if fontanels are bulging
  d. Positioning on the opposite side from surgery
  e. Changing the position every 4 hours
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wrote...
6 years ago
A, B, D
The baby should have daily head and abdominal measurements to track whether the CSF is being drained from the head and absorbed in the abdomen. The child should be positioned on the side opposite the surgery unless the fontanels are bulging. In this event, the child is placed in a semi-Fowler's position to facilitate drainage. Position changes should occur every 2 hours.
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