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A Nurse in Monitoring a 3-Month-Old Infant for Signs of Increased

Question 8

Multiple Choice

A nurse in monitoring a 3-month-old infant for signs of increased intracranial pressure (ICP) . On palapation of the fontanels, the nurse notes that the anterior fontanel is soft and flat. On the basis of this finding, which action should the nurse take next?


A) Elevate the head of the bed to 90 degrees
B) Notify the physician
C) Increase oral fluids
D) Document the finding

Correct Answer:

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