A 12-year-old is admitted to the emergency department after a head injury. His admission vital signs are: T: 98.2°, P: 68, BP: 96/56, and R: 16
Select the set of vital signs that would indicate to the nurse that there is increasing intracranial pressure (ICP): a. T: 98.2°, P: 66, BP: 100/60, R: 18
b. T: 98.4°, P: 68, BP: 112/72, R: 16
c. T: 98.4°, P: 60, BP: 118/68, R: 14
d. T: 99°, P: 66, BP: 98/54, R: 14
C
The pulse and respirations are dropping, the systolic blood pressure is rising, and the pulse pressure is getting wider. These are all indicators of increasing ICP.
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