The nurse is monitoring a child with hydrocephalus who received a repeat ventriculoperitoneal (VP) shunt yesterday. Which assessment finding indicates to the nurse that the shunt is functioning normally?
The child has grown in height since the previous shunt placement.
The child is afebrile with normal vital signs postoperatively.
An intracranial pressure (ICP) monitoring probe is in place.
The child reports no evidence of continuous headaches.
The Correct Answer is D
The absence of continuous headaches in the child indicates that the VP shunt is functioning normally. A VP shunt is used to treat hydrocephalus by draining excess cerebrospinal fluid from the brain to the abdomen. If the shunt is functioning properly, it should relieve pressure on the brain and reduce symptoms such as headaches. The other options (A, B, and C) do not directly indicate whether the shunt is functioning normally or not.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
When using an ophthalmic anti-infective ointment, it is important to prepare the child for blurry vision after ointment application. This is because the ointment can temporarily blur vision after application. It is important to follow the instructions on the medication label and continue using the ointment for the full course of treatment, even if symptoms improve before then ¹.

Correct Answer is B
Explanation
The client should be instructed to eat a source of sugar if he experiences profuse perspiration, which may indicate hypoglycemia or low blood sugar. Other symptoms of hypoglycemia include shakiness, confusion, dizziness, and weakness.
Eating a source of sugar, such as a glucose tablet, fruit juice, or candy, can quickly raise blood sugar levels and alleviate symptoms of hypoglycemia.
A racing pulse, excessive thirst, and seeing spots are not typically associated with hypoglycemia.
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