Difficulty: Medium
Average Score: 67%
Simulated
Passage / Scenario
Child postoperative after ventriculoperitoneal (VP) shunt insertionWhich action should the nurse take when providing postoperative nursing care to a child after insertion of ventriculoperitoneal (VP) shunt?
Correct answer
D
Rationale
The correct action for the nurse is to monitor for an increased temperature. This is crucial because fever can indicate infection, a common complication after VP shunt insertion. Checking urine for glucose and protein (A) is not relevant to postoperative care for a VP shunt. Administering narcotics for pain control (B) is important but not the priority in this case. Testing CSF fluid leakage for protein (C) is not a routine postoperative care action. Monitoring for increased temperature (D) is essential to promptly identify and manage infection.