A child with a ventriculoperitoneal (VP) shunt complains of headache, blurry vision, irritability, and increased sleep. The parents ask what they should do. Select the nursbest response.

Correct Answer: D

Rationale: Take her to the ER immediately is best for headache, blurry vision, irritability, and sleepiness in a VP shunt child, per neurosurgery texts. These signal shunt malfunction (e.g., obstruction), raising ICP, requiring urgent imaging. Acetaminophen delays; menstrual link is irrelevant; 9-year function doesnt rule out failure. Ds urgency makes itthe correct answer.

Correct Answer: B

Rationale: Cloudy CSF likely indicatbacterial meningitis , per infectious disease texts, from high white cells and protein. Viral is clear; normal CSF isnt cloudy; sepsis systemic. Bs specificity makes itthe correct answer.

Correct Answer: C

Rationale: Varies, but younger children tend to have learning disabilitiis best, per oncology texts. Radiation disrupts developing brains, with younger age increasing risk, not decreasing . All overstates; no problems understates. Cs nuance makes itthe correct answer.

Correct Answer: B

Rationale: Risk for hydrocephalus is best, per neurosurgery texts. Myelomeningocele often caushydrocephalus via Chiari malformation, detected by head circumference. General growth is vague; meningitis unrelated; microcephaly false. Bs specificity makes itthe correct answer.

Correct Answer: C

Rationale: Control her spasms is best for baclofen in CP, per pharmacology. A muscle relaxant, it reducspasticity post-surgery. Pain , seizur, and bladder are incorrect uses. Cs accuracy makes itthe correct answer.