Forty-eight hours after a ventriculoperitoneal shunt placement, an infant is irritable and vomits a large amount. The assessment reveals a bulging fontanel. Using the SBAR...

Forty-eight hours after a ventriculoperitoneal shunt placement, an infant is irritable and vomits a large amount. The assessment reveals a bulging fontanel. Using the SBAR (Situation-Background-AssessmentRecommendation) technique for communication, the nurse calls the primary health care provider with the recommendation for:

1. A dose of morphine (Astramorph).

2. A fluid bolus of normal saline.

3. A computerized tomography scan.

4. A dose of furosemide (Lasix).