hydrocephalus
Ipahigda sa first 24 hours
kay para dle makalitan ug ubos ang csf
What is the drug that will lessen CSF production that Nurse Elton will anticipate the doctor to order? a) Spironolactone b) Lasix c) Mannitol d) Diamox
DIAMOX si acetazolamide
What is the IMPORTANT nursing care of an infant with increased intracranial pressure? a) Check the infant's reflexes at regular intervals. b) Monitor the infant's level of consciousness by stimulating frequently. c) Weight the infant daily before feeding. d) Elevate the infant's head higher than the hips.
Elevate the infant's head higher than the hips positioning jud ka dara
4 year old with hydrocephalus is scheduled to have a ventroperitoneal shunt in the right side of the head. When developing the child's postoperative plan of care, the nurse would expect to place the preschooler in which of the following positions immediately after surgery? a) on the right side, with the foot of the bed elevated b) on the left side, with the head of the bed elevated c) prone with the head of the bed elevated
For at least the first 24 hours after insertion of a ventriculoperitoneal shunt, the child is positioned supine with the head of the bed flat to prevent too rapid decrease in CSF pressure. A rapid reduction in the size of the ventricles can cause subdural hematoma. Positioning on the operative site is to be avoided because it places pressure on the shunt valve, possibly blocking desired drainage of CSF. With continued increased ICP, the child would be positioned with the head of bed elevated to allow gravity to aid drainage.
Nurse Elton understands that hydrocephalus, if left untreated, can cause mental retardation because of which of the following rationales? a) Hypertonic CSF disturbs normal plasma concentration, depriving nerve cells of vital nutrients. b) Gradually increasing size of the ventricles presses the brain against the bony cranium; anoxia and decreased blood supply result. c) Increasing head size necessitates more oxygen and nutrients than normal blood flow can supply. d) CSF dilutes blood supply, causing cells to atrophy.
Gradually increasing size of the ventricles presses the brain against the bony cranium; anoxia and decreased blood supply result.
Baby Boy Nikita just had a ventriculoperitoneal shunt. His parents were worried about the prognosis. What information should Nurse Bruno give to the parents to allay their worry? a) The shunt may need to be revised as the child grows older. b) If any brain damage has occurred, it is reversible during the first year of life. c) Hydrocephalus usually is self- limiting by 2 years of age and then the shunt is removed. d) The prognosis is excellent and the valve is permanent.
The shunt may need to be revised as the child grows older.
Baby Boy Nikita, 6 months old, was diagnosed as having communicating hydrocephalus. Nurse Elton is planning nursing care for this baby who is a candidate for ventriculo- peritoneal shunting. 26. When helping the parents understand the baby's problem, which of the following should be Nurse Elton's ACCURATE explanation? a) "The CSF is prevented from adequate absorption by a blockage in the ventricles of the brain." b) "Too much Cerebro Spinal Fluid (CSF) is produced within the ventricles of the brains." c) "The flow of CSF through the brain cells does not empty effectively into the spinal cord." d) "There is a part of the brain surface that usually absorbs CSF after its production that is not functioning adequately.
There is a part of the brain surface that usually absorbs CSF after its production that is not functioning adequately.
