When caring for a patient who has had a head injury, which assessment information is of most concern to the nurse?

Question

Quizplus · Accepted Answer

The change in level of consciousness (LOC) is an indicator of increased ICP and suggests that action by the nurse is needed to prevent complications. The change in BP should be monitored but is not an indicator of a need for immediate nursing action. Headache is not unusual in a patient after a head injury. A slightly irregular apical pulse is not unusual.

When Caring for a Patient Who Has Had a Head