Exam 11: Intracranial Regulation

A school-age client loses consciousness after being hit in the head with a bat at baseball practice.The child was not wearing a helmet.The last set of vital signs showed heart rate 48,blood pressure 148/74 mmHG,and respiratory rate 28 and irregular.Based on this data,which conclusion by the nurse is the most appropriate?

The nurse is providing care for a client with a head injury and wants to decrease the client's risk for developing increased intracranial pressure (IICP).Which assessment data indicates that the nurse is successful? Select all that apply.