MEDizzy - A nurse in the pediatric clinic is assessing an infant who

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Nursing Care of Infants

A nurse in the pediatric clinic is assessing an infant who had a revision of a ventriculoperitoneal shunt. What clinical finding alerts the nurse that intracranial pressure has increased?

ExplanationD. The anterior fontanel will be widened and tense because of the increased volume of cerebrospinal fluid (CSF). A. The pulse rate will be decreased with increased intracranial pressure. B. The reflexes will be hyperactive with increased intracranial pressure. C. The blood pressure will be higher with increased intracranial pressure.