NCLEX-RN Question #248: Real Exam Question with Answer & Explanation

The correct answer is D. Bed flat on nonoperative side. (A) Elevation of head on nonoperative side would be the position for the late postoperative period. (B) Positioning on operative side puts pressure on the suture lines and on the shunt valve. Elevation of head in immediate postoperative period may cause rapid reduction of cerebro

Question

A client is 2 hours post ventriculoperitoneal shunt placement. How should the nurse position the client?

Options

AHead of bed elevated 30 degrees on nonoperative side
BHead of bed elevated 30 degrees on operative side
CBed flat on operative side
DBed flat on nonoperative side

Explanation

(A) Elevation of head on nonoperative side would be the position for the late postoperative period. (B) Positioning on operative side puts pressure on the suture lines and on the shunt valve. Elevation of head in immediate postoperative period may cause rapid reduction of cerebrospinal (C) Placement on operative side puts pressure on the suture lines and shunt valve. (D) Flat position on nonoperative side in the immediate postoperative period prevents pressure on shunt valve and rapid reduction in cerebrospinal fluid.

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