CRNE Exam Prep

Category - Changes in Health

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?

  1. Bradycardia
  2. Widened pulse pressure
  3. Declining level of consciousness
  4. 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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