A nurse is caring for a 12 month old child who has returned from the operating room after insertion of a ventriculoperitoneal (VP) shunt. Which assessment finding is most important to communicate to the surgeon?

The child is crying and looking around for the parent.

The shunt tubing is seen on the side of the neck.

The cardiac monitor shows a heart rate of 106 beats per minute.

The head dressing has a large area of clear drainage.