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Exam (elaborations)
2024 PN EXAM HESI Practice
In infants with hydrocephalus, the early signs of ventricular shunt malfunction 
are: 
a) A high-pitched cry, colic, and pupillary changes 
b) A tense fontanelle, vomiting, and irritability 
c) Anorexia, and changes in pulse and respiration 
d) Headaches, lethargy, and a loss of appetite - correct answersA tense fontanelle, 
vomiting, and irritability 
-These symptoms show increased intracranial pressure. Changes in heart rate and 
respiration would be a late sign. The other choices are not indi...