The nurse is caring for a 9-month-old who just returned from the PACU after a shunt placement for hydrocephalus. Which of the following physician's orders would the nurse question?
1. Elevate head of bed.
2. Daily head circumference
3. Small, frequent formula feedings
4. Vital signs and neuro checks hourly
1
Rationale:
1. The 9-month-old should be placed in a flat position so that CSF drainage is not too rapid.
2. Daily head circumferences are needed to help evaluate shunt functioning.
3. Small, frequent feedings are appropriate to decrease the chance of vomiting.
4. Frequent vital signs and neuro checks are needed postoperatively.
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