When assessing a patient, the nurse notes early signs of increasing ICP. What sign or symptom might the nurse have noted?
A) Increased respiratory effort
B) Increased urinary output
C) Decreased heart rate
D) Decreased blood pressure
Ans: A
Feedback: The nurse assesses for and immediately reports any of the following early signs or symptoms of increasing ICP: disorientation, restlessness, increased respiratory effort, purposeless movements, and mental confusion. Therefore options B, C, and D are incorrect.
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