Difficulty: Medium
Average Score: 65%
Simulated
Passage / Scenario
A 1-month-old infant with a new ventriculoperitoneal shunt.The nurse is assessing a 1-month-old infant with a new ventriculoperitoneal shunt. Which of the following signs and symptoms in this infant is concerning for increased intracranial pressure? SELECT ALL THAT APPLY
Correct answer
A,B,E
Rationale
The correct answers are A, B, and E. Vomiting, poor feeding, and irritability in a 1-month-old infant with a new ventriculoperitoneal shunt are concerning signs of increased intracranial pressure. Vomiting can indicate pressure on the brainstem, affecting the vomiting center. Poor feeding may result from increased pressure impacting the hypothalamus, affecting hunger cues. Irritability can be a sign of discomfort due to increased pressure. Weak cry (choice C) and sunken fontanels (choice D) are not typical signs of increased intracranial pressure in this context.