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