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Title: The nurse is caring for a 3-year-old with a head injury. Which assessment would lead the nurse to ... Post by: Javi42078 on Feb 6, 2018 The nurse is caring for a 3-year-old with a head injury. Which assessment would lead the nurse to report the probability of increasing intracranial pressure (ICP)?
a. Temperature increase from 37.2 C (99 F) to 37.7 C (100 F) b. Increase in blood pressure with an attendant decrease in pulse c. Increase in respirations d. Equilateral pupils Title: The nurse is caring for a 3-year-old with a head injury. Which assessment would lead the nurse to ... Post by: apinch on Feb 6, 2018 ANS: B
Increasing blood pressure, accompanied by decreasing pulse, and accompanied by unequal pupils are indicators of ICP. |