Which of the following is the classic sign of intensely high intracranial pressure and risk for brain herniation?
a. projectile vomiting and severe headache
b. veins that stand out noticeably on the face and the neck
c. severe earache as well as neck and facial pain
d. one dilated pupil and contralateral spasticity or flaccidity
D
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A Incorrect. Projectile vomiting and severe headache are not classic signs of intensely high intracranial pressure, and the child is not at risk for brain herniation.
B Incorrect. Veins that stand out noticeably on the face and the neck are not classic signs of intensely high intracranial pressure, and the child is not at risk for brain herniation.
C Incorrect. Severe earache as well as neck and facial pain are not classic signs of intensely high intracranial pressure, and the child is not at risk for brain herniation.
D Correct. The child with one dilated pupil and contralateral spasticity or flaccidity displays the classic sign of intensely high intracranial pressure and risk for brain herniation.
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