Over the course of an 8-hour shift of postoperative care for a child who has had ventriculoatrial shunt placement, the nurse notes that the child's cry has become increasingly shrill and the child has projectile vomiting.
The nurse would notify the physician immediately because of the possibility that the child might be experiencing:
A) infection at the surgical site.
B) rejection of the shunt.
C) a sudden increase in pain.
D) increased intracranial pressure.
Question 2
Newborn Isaac has been taken to the nursery after delivery. He has been cleaned in the labor and delivery suite and swaddled in a blanket. The nurse is going to check his pulse. What must the nurse do?
A) Perform a 3-minute surgical-type scrub before touching him.
B) Wear gloves.
C) Use infection transmission precautions.
D) Clean his or her hands with a betadine scrub.
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