MEDizzy - A child undergoes surgical removal of a brain tumor. During

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Pediatric Nursing

A child undergoes surgical removal of a brain tumor. During the postoperative period, the nurse notes that the child is restless, the pulse rate is elevated, and the blood pressure has decreased significantly from the baseline value. The nurse suspects that the child is in shock. Which is the most appropriate nursing action?

ExplanationIn the event of shock, the PHCP is notified immediately before the nurse changes the child’s position or increases intravenous fluids. After craniotomy, a child is never placed in the supine or Trendelenburg’s position because it increases intracranial pressure (ICP) and the risk of bleeding. The head of the bed should be elevated. Increasing intravenous fluids can cause an increase in ICP.