Question

a nurse is caring for a child who sustained a head injury in an automobile accident and is monitoring the child for signs of increased intracranial pressure (icp). the nurse plans to monitor for the earliest sign of increased icp by assessing for:

Answer 1

Step-by-step explanation:

In a child with a head injury, the nurse plans to monitor for the earliest signs of increased intracranial pressure (ICP). One of the earliest signs to assess for is:

1. **Change in Level of Consciousness (LOC):**

- This can include irritability, restlessness, or lethargy.

- Altered LOC is often an early indicator that the brain is experiencing increased pressure.

Monitoring for changes in the child's behavior, responsiveness, and overall consciousness is crucial in detecting early signs of increased ICP. It allows for timely intervention and management to prevent further complications.