CRNE Exam Prep

Category - Changes in Health

A nurse is obtaining the vital signs of a client with increased intracranial pressure. The nurse determines that which of the following findings suggest an increase of ICP?
  1. Increased temperature, increased pulse rate, and a fall in blood pressure with widening pulse pressure
  2. Increased temperature, slowing of pulse, and a rise in blood pressure with widening pulse pressure
  3. Decreased temperature, slowing of pulse, and a rise in blood pressure with narrowing pulse pressure
  4. Decreased temperature, increased pulse rate, and a fall in blood pressure with narrowing pulse pressure
Explanation
Answer: B - Changes in vital signs occur during increased intracranial pressure. Increased temperature, decreased pulse rate, increased blood pressure with widening pulse pressure, and decreased respiratory rate are observed with increased ICP.
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