The nurse is assessing a 2-week-old infant who developed hydrocephalus. What should the nurse expect to assess in this patient?
A) Excessive thirst
B) A soft, fretful cry
C) Hypothermia in the late afternoon
D) White sclera showing above the pupils
D
Feedback:
: As the fluid accumulation continues in hydrocephalus, the brow bulges forward, and the eyes become "sunset eyes," which means the sclera shows above the iris because of upper lid retraction. Excessive thirst; soft, fretful cry; and hypothermia in the late afternoon are not manifestations of hydrocephalus.
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