Answer:
In a child with a head injury, a nurse monitors for various signs of increased intracranial pressure (ICP). An early sign that the nurse should assess for is:
1. **Change in Level of Consciousness (LOC):**
- This can manifest as irritability, restlessness, or lethargy.
- Increased ICP can affect the brain's function, leading to alterations in consciousness.
Other signs to monitor for include headache, vomiting (especially in the morning), changes in pupil size and reactivity, and motor function abnormalities. It's essential for the nurse to report any significant changes promptly for appropriate intervention and management.