The nurse is caring for a 3-year-old child 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

Question

Quizplus · Accepted Answer

Increasing blood pressure,accompanied by decreasing pulse,and accompanied by unequal pupils are indicators of ICP.

The Nurse Is Caring for a 3-Year-Old Child with a Head