In Caring for a 3-Year-Old with a Head Injury,the Nurse

Multiple Choice

In caring for a 3-year-old with a head injury,the nurse would report the probability of increasing intracranial pressure (ICP) based on the assessment of:

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.