The nurse is caring for a young child who fell and hit his or her head and is brought to the emergency room with projectile vomiting. How does the nurse interpret this behavior?
A) The child is in intense pain
B) The child probably ate too much for dinner
C) The child likely has a full bladder
D) The child has increased intracranial pressure
D
Feedback:
Increased intracranial pressure applies direct pressure to the CTZ resulting in projectile vomiting. This child requires a thorough neurological assessment. Intense pain would be indicated by crying. A full bladder or eating too much for dinner would not cause projectile vomiting in a healthy child.
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