Which action should the nurse take when providing postoperative nursing care to a child after insertion of ventriculoperitone (VP) shunt?

A. Appropriate dose of aspirin and rest: Aspirin is an antiplatelet medication that can worsen bleeding in individuals with hemophilia. It should be avoided. Rest alone is not sufficient in this situation.

B. Immobilization of the leg and a dose of ibuprofen: Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding. Immobilizing the leg may help prevent further injury, but it does not address the underlying bleeding issue or provide the necessary clotting factor.

C. Heating pad and administration of factor VIII concentrate: While the administration of factor VIII concentrate is appropriate, the use of a heating pad is not advisable, as it can potentially worsen bleeding by dilating blood vessels in the area.

D. Pressure on the site and administration of the required clotting factor.

Hemophilia is a bleeding disorder in which the blood doesn't clot properly. When a hemophilic child has a significant bruise or bleeding, it is crucial to administer the specific clotting factor that they are deficient in (Factor VIII or IX) to stop the bleeding. Applying pressure to the site can also help control bleeding.

In summary, option D is the priority because it directly addresses the bleeding issue in the child with hemophilia by applying pressure to the site and administering the necessary clotting factor. This is crucial in preventing further bleeding and complications.

A. "Your husband is correct. Constant attention makes an infant irritable and spoiled." This statement is not accurate. Infants need responsive caregiving and interaction with their caregivers for healthy emotional development. Providing attention to meet the baby's needs is not synonymous with spoiling.

B. "Your husband is concerned for you as giving so much attention to an infant significantly depletes your energy." While it's true that caring for a baby can be physically demanding and exhausting for parents, this response doesn't address the husband's concern and doesn't provide guidance on infant care.

C. "Your husband is not correct. Interaction helps an infant establish trust."

Option C provides the most appropriate response because it supports the importance of interaction and bonding with the infant, especially during the early stages of development. Establishing trust and attachment with the baby is crucial for their emotional and psychological well-being. Responsive caregiving and interaction with the infant is not associated with spoiling but rather with healthy child development.

D. "Your husband knows what he is talking about. A lot of attention causes a child to become self-centered." This response is not supported by current child development research. Proper attention and interaction with an infant promote healthy attachment and emotional development rather than causing self-centeredness.