The nurse is caring for a client who continues to have increasingly high intracranial pressure. Which complication is expected unless intracranial pressure is resolved?
A) Additional inflammation occurs in the brain.
B) Blood vessels dilate circulating blood.
C) Herniation occurs through the foramen magnum.
D) Venous congestion occurs causing peripheral edema.
C
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Unless intracranial pressure is resolved, the brain will shift to the lateral side or herniate downward through the foramen magnum. Inflammation occurs from damage to the brain but will reach a maximum. Blood vessels do not dilate as a result of intracranial pressure. Peripheral edema is not a concern.
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