The Nurse Is Caring for a 3-Year-Old Child with a Head

question 13

Multiple Choice

The nurse is caring for a 3-year-old child with a head injury.Which assessment would lead the nurse to report the probability of increasing intracranial pressure (ICP) ?

• A) Temperature increase from 37.2° C (99° F)to 37.7° C (100° F)
• B) Increase in blood pressure with an attendant decrease in pulse
• C) Increase in respirations
• D) Equilateral pupils

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Definitions:

SCN

The Suprachiasmatic Nucleus, a tiny region in the brain's hypothalamus responsible for controlling circadian rhythms.

Time Zones

Geographic regions defined by the difference in hours from Coordinated Universal Time (UTC).

Marijuana

A psychoactive drug from the Cannabis plant used for medical or recreational purposes.

Opiates

A group of drugs derived from opium that are used for their analgesic (pain-relieving) properties, but also have a high potential for addiction.