Which assessment finding should the licensed practical nurse (LPN)report to the charge nurse when providing care to an infant with a ventral-peritoneal (VP)shunt?
A) Pupils equal and reactive to light
B) Apical pulse 110 beats per minute
C) Respiratory rate 32 breaths per minute
D) Tympanic temperature 102°F (38.8°C)

Question

Quizplus · Accepted Answer

A tympanic temperature of 102°F (38.8°C) is an abnormal finding and may indicate an infection, which is a potential complication in an infant with a VP shunt. The other assessment findings are within normal range for an infant.

Which Assessment Finding Should the Licensed Practical Nurse (LPN)report to the Charge