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During an Assessment of a 22-Year-Old Woman Who Has a Head

Question 16

Multiple Choice

During an assessment of a 22-year-old woman who has a head injury from a car accident 4 hours ago,the nurse notices the following change: pupils were equal,but now the right pupil is fully dilated and nonreactive,left pupil is 4 mm and reacts to light.What does finding this suggest?


A) Injury to the right eye
B) Increased intracranial pressure
C) Test was not performed accurately
D) Normal response after a head injury

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