CRNE Exam Prep

Category - Changes in Health

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An 18-year-old male was admitted to the unit after sustaining a head trauma during a football game. The nurse caring for the client recognizes the client’s greater risk for increased intracranial pressure. Which of the following findings should alert the nurse as it is the earliest indication of increasing intracranial pressure?

Bradycardia
Widened pulse pressure
Declining level of consciousness
Elevated temperature

Explanation

Answer: C - A change in the level of consciousness is the most sensitive and earliest indication of increasing intracranial pressure. Bradycardia, increased systolic blood pressure, and widened pulse pressure are late signs of increased intracranial pressure.

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