A nurse is caring for an infant who is postoperative following the placement of a ventriculoperitoneal shunt for treatment of hydrocephalus. Which of the following findings should the nurse expect?
Explanation & Rationale
Choice A reason: Incisional drainage positive for glucose indicates cerebrospinal fluid leakage, which is a complication, not an expected finding. This requires immediate intervention. Choice B reason: Irritability is expected in infants postoperatively and can indicate increased intracranial pressure or discomfort. It is a common finding after shunt placement and requires monitoring. Choice C reason: Drowsiness may occur but is concerning if excessive, as it can indicate shunt malfunction or increased intracranial pressure. It is not considered a normal expected finding. Choice D reason: Decreased head circumference is not expected immediately after shunt placement. Head growth should stabilize over time, but a sudden decrease would be abnormal.