This topic contains a solution. Click here to go to the answer

Author Question: What is a priority of care when a child has an external ventricular drain (EVD)? a. Irrigation of ... (Read 35 times)

bb

  • Hero Member
  • *****
  • Posts: 544
What is a priority of care when a child has an external ventricular drain (EVD)?
 
  a. Irrigation of drain to maintain flow
  b. As-needed dressing changes if dressing becomes wet
  c. Frequent assessment of amount and color of drainage
  d. Maintaining the EVD below the level of the child's head

Question 2

A child is admitted for revision of a ventriculoperitonea l shunt for noncommunicating hydrocephalus. What is a common reason for elective revision of this shunt?
 
  a. Meningitis
  b. Gastrointestinal upset
  c. Hydrocephalus resolution
  d. Growth of the child since the initial shunting



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

braelync

  • Sr. Member
  • ****
  • Posts: 350
Answer to Question 1

ANS: C
The EVD is inserted into the child's ventricle. Frequent assessment is necessary to determine amount of drainage and whether an infection is present. The EVD is a closed system and is not opened for irrigation. Antibiotics may be administered through the drain, but this is usually done by the neuropractitioner. The dressing is not changed. If it becomes wet, then the practitioner should be notified that cerebrospinal fluid (CSF) may be leaking. Unless ordered, maintaining the EVD below the level of the child's head position will create too much pressure and potentially drain too much CSF.

Answer to Question 2

ANS: D
An elective revision of a ventriculoperitonea l shunt would most likely be done to accommodate the child's growth. Meningitis would require an emergent replacement or revision of the shunt. Gastrointestinal upset alone would not indicate the need for shunt revision. Noncommunicating hydrocephalus will not resolve without surgical intervention.




bb

  • Member
  • Posts: 544
Reply 2 on: Jun 28, 2018
YES! Correct, THANKS for helping me on my review


Joy Chen

  • Member
  • Posts: 354
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

Multiple experimental evidences have confirmed that at the molecular level, cancer is caused by lesions in cellular DNA.

Did you know?

People about to have surgery must tell their health care providers about all supplements they take.

Did you know?

Patients who cannot swallow may receive nutrition via a parenteral route—usually, a catheter is inserted through the chest into a large vein going into the heart.

Did you know?

Approximately 70% of expectant mothers report experiencing some symptoms of morning sickness during the first trimester of pregnancy.

Did you know?

Approximately one in four people diagnosed with diabetes will develop foot problems. Of these, about one-third will require lower extremity amputation.

For a complete list of videos, visit our video library