Practice Question
A nurse is assessing an infant following a motor vehicle crash. Which of the following findings should the nurse monitor to identify increased Intracranial pressure?
Answer Choices:
Correct Answer:
Increased sleeping
Rationale:
💤 Increased intracranial pressure (ICP) in infants can present as lethargy, irritability, vomiting, bulging fontanelles, and changes in consciousness.
💤 Excessive sleepiness or difficult arousal can indicate cerebral edema or compression, especially after trauma.
💤 Other red flags include sunsetting eyes, widening sutures, and poor feeding.
💤 Tachycardia and depressed fontanelles are not typical signs of increased ICP.
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This question is from RN ATI Pediatrics Bsn Simmons Exam IV which contains 49 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4