The nurse is caring for a 9-month-old infant who just returned from the postanesthesia care unit (PACU) after a shunt placement for hydrocephalus. Which healthcare provider prescription should the nurse question?
1. Vital signs and neurologic checks hourly
2. Small, frequent formula feedings
3. Elevate head of bed
4. Daily head circumference
3
Explanation:
1. Frequent vital signs and neurologic checks are needed postoperatively.
2. Small, frequent feedings are appropriate to decrease the chance of vomiting.
3. The 9-month-old should be placed in a flat position so that cerebrospinal fluid drainage is not too rapid.
4. Daily head circumferences are needed to help evaluate shunt functioning.
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