A child is receiving vincristine (Oncovin). The nurse should ...

[kshipps]

A child is receiving vincristine (Oncovin). The nurse should monitor for which side effect of this medication?
 
  a. Diarrhea
  b. Photosensitivity
  c. Constipation
  d. Ototoxicity

Question 2

Postoperative positioning for a child who has had a medulloblastoma brain tumor (infratentorial) removed should be which?
 
  a. Trendelenburg
  b. Head of bed elevated above heart level
  c. Flat on operative side with pillows behind the head
  d. Flat, on either side with pillows behind the back

[ebe]

Answer to Question 1

ANS: A
Vincristine, and to a lesser extent vinblastine, can cause various neurotoxic effects. One of the more common neurotoxic effects is severe constipation caused from decreased bowel innervation.

Answer to Question 2

ANS: D
The child with an infratentorial procedure is usually positioned flat and on either side. Pillows should be placed against the child's back, not head, to maintain the desired position. The Trendelenburg position is contraindicated in both infratentorial and supratentorial surgeries because it increases intracranial pressure and the risk of hemorrhage.

[kshipps]

TYSM

[komodo7]

Gracias!