The nurse caring for a patient with a brain tumor who has increased intracranial pressure recognizes which of the following as a late sign of increased ICP?
A) Disorientation
B) Tachycardia
C) Widening pulse pressure
D) Headache that is constant
Ans: C
Feedback: A rising blood pressure with an unchanged diastolic reading results in a widening pulse pressure, which is a late sign of ICP. Disorientation, impaired ocular movements, and constant headache are early signs of increased ICP. Tachycardia is not a sign of ICP.
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