Practice Quiz

CCRN Critical Care Nursing

Category - Neonatal

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A nurse has provided discharge instructions to the parents of an infant who had a ventriculoperitoneal (VP) shunt procedure performed for the treatment of hydrocephalus. Which statement if made by the parents indicates an accurate understanding of the presence of a shunt complication?
  1. “If the infant has a high-pitched cry, I should call the doctor.”
  2. “I should position my infant on the side with the shunt when sleeping.”
  3. “My infant will pass urine more often now that the shunt is in place.”
  4. “I should call may doctor if my infant refuses baby food.”
Explanation
Answer: A- If the shunt is broken or malfunctioning; the fluid from the ventricle part of the brain will not be diverted to the peritoneal cavity. The cerebrospinal fluid will build up in the cranial area. The result is intracranial pressure, which then causes a high-pitched cry in the infant.
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