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
Correct Answer:
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