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    Ati N400 pediatric proctored exam 2
    Select All That Apply

    The nurse recognizes which assessments are appropriate for a 7-week-old infant post-operative Ventriculoperitoneal (VP) shunt? (Select All that Apply.)

    Explanation & Rationale

    A. Monitoring level of consciousness and neurologic status is essential to detect shunt malfunction or increased intracranial pressure. B. Assessing the anterior fontanel helps identify signs of increased intracranial pressure or shunt malfunction. C. Feeding patterns and tolerance can reflect neurologic status and overall recovery. D. Hydration status and intake/output are critical to assess fluid balance and shunt function. E. Incision sites must be monitored for signs of infection or drainage, which can indicate complications. F. A sterile saline–soaked dressing is used for myelomeningocele prior to repair, not for VP shunt post-op care. G. Pain management is vital for comfort and to support recovery. H. Monitoring vital signs helps identify infection, increased intracranial pressure, or other complications.

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