Question

James Franklin is 5 days post-stroke. Which symptom noted on assessment indicates that there has been an acute increase in intracranial pressure?

1) Severe headache
2) Decreased level of consciousness
3) Nausea and vomiting
4) Blurred vision

Answer 1

A decreased level of consciousness is the most indicative symptom of an acute increase in intracranial pressure following a stroke and signifies a need for immediate medical intervention.

Step-by-step explanation:

Among the symptoms listed, a decreased level of consciousness is a critical indicator of an acute increase in intracranial pressure (ICP) following a stroke. Following a stroke, the brain is vulnerable to swelling, which can lead to increased ICP. This pressure can cause symptoms such as headache, nausea, vomiting, or visual disturbances. However, a significant decrease in consciousness suggests a more severe change in brain function indicative of increased ICP. It is essential for swift medical intervention as this can be life-threatening and warrants immediate attention to prevent further brain damage.

The final answer, supported by a two-line explanation: A decrease in level of consciousness is most indicative of an acute increase in intracranial pressure post-stroke. This symptom shows a severe change in brain function and requires immediate medical attention.