Difficulty: Medium
Average Score: 74%
Simulated
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an indication of increased intracranial pressure (ICP)?
Correct answer
C
Rationale
Restlessness is an early ICP sign due to brain impairment. Tachycardia and hypotension are not typical, and amnesia is related to injury but not specific to ICP.