Author Question: Which nursing intervention should not be included in the postoperative plan of care for a child ... (Read 127 times)

mydiamond · **on:** Jun 27, 2018

Which nursing intervention should not be included in the postoperative plan of care for a child undergoing surgery for a brain tumor?

a. Position with head lower than body.
b. Perform neurological assessments.
c. Assess dressings for drainage.
d. Monitor temperature.

Question 2

Which is an expected physical assessment finding for an adolescent with a diagnosis of Hodgkin's disease?

a. Protuberant, firm abdomen
b. Enlarged painless, firm cervical lymph nodes
c. Soft tissue swelling
d. Soft to hard, nontender mass in the pelvic area

b614102004 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
The child is never placed in the Trendelenburg position because it increases intracranial pressure and the risk of bleeding. Increased intracranial pressure is a risk in the postoperative period. The nurse would assess the child's neurological status frequently. Hemorrhage is a risk in the postoperative period. The child's dressing would be inspected frequently for bleeding. Temperature is monitored closely because the child is at risk for infection in the postoperative period.

Answer to Question 2

B
Painless, firm, movable adenopathy (enlarged lymph nodes) palpated in the cervical region is an expected assessment finding in Hodgkin's disease. Other systemic symptoms include unexplained fevers, weight loss, and night sweats. A protuberant, firm abdomen is present in many cases of neuroblastoma. Soft tissue swelling around the affected bone is a manifestation of Ewing's sarcoma. A soft to hard, nontender mass can be palpated when rhabdomyosarcoma is present.