A nurse is doing a postoperative assessment on an infant who has just had a ventriculoperitoneal shunt placed for hydrocephalus. Which assessment would indicate a malfunction in the shunt?
1. Incisional pain
2. Movement of all extremities
3. Negative Brudzinski's sign
4. Bulging fontanel
Answer:4
Rationale: A bulging fontanel would be an abnormal finding and could indicate that the shunt is malfunctioning.Incisional pain,movement of all extremities,and negative Brudzinski's sign are all normal findings after a ventriculoperitoneal shunt has been placed.
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