NCLEX-PN

Category - Physiological Adaptation

Start a Study Session Sign up for Question of the Day

The nurse is caring for a client who is admitted with a diagnosis of bacterial meningitis. Which of the following signs noted by the nurse should prompt immediate notification to the RN or physician as it indicates the development of a rising intracranial pressure?

Pupils with diameters of 8 mm
Systolic hypertension with gradual decrease of the diastolic pressure
Confusion and disorientation
Irregular respirations

Explanation

Answer: C - Mental status changes, such as confusion and disorientation, are early signs of increased intracranial pressure. Pupil dilation, hypertension with widening pulse pressure, and irregular respirations are late signs of increased ICP.

Was this helpful? Upvote!

Start a Study Session Sign up for Question of the Day

Most popular on PracticeQuiz

222 votes

You are attempting to gather information from a patient, but they are having a hard time trying to communicate since they were hit in the throat by a baseball bat. What is the function of the vocal cords? NREMT Advanced EMT
210 votes

An 8-year-old boy named Albert has a 10-year-old brother named Benny. Benny joins the service at 20 leaving Albert feeling bitter that he no longer has a brother to look up to. After 7 years, Albert is finally ready to make up with Benny who has been out of the service for 5 years. How old is Albert now? GED Exam Prep: Math
201 votes

Using motivation from ‘within’ is called ______________. CPCE Exam Prep
188 votes

The lymphatic system contains four organs: Medical Coding Exam Prep
130 votes

“A set of specialized organizational capabilities for providing value to customers in the form of services” is the official definition of: IT Service Management Foundation Practice Test

NCLEX-PN

Top questions

Related questions

Most popular on PracticeQuiz

Ad-Blocker not supported

NCLEX-PN

Top questions

Related questions

Most popular on PracticeQuiz