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The Nurse Assessing an Infant Finds the Following Signs and Symptoms

Question 1

Multiple Choice

The nurse assessing an infant finds the following signs and symptoms: sun setting eyes with sclera seen above the iris, a high-pitched cry, a bulging fontanel, dilated scalp veins, slight alteration in consciousness, and vomiting. The nurse is aware that these signs and symptoms are most consistent with:


A) increased intracranial pressure
B) spinal cord trauma
C) encephalitis caused by a virus
D) severe hypoxia

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