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

Question 13

Multiple Choice

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

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