Difficulty: Medium
Average Score: 86%
Simulated
A nurse is monitoring a client's intracranial pressure (ICP) after a motor vehicle accident. Upon checking the ICP, the nurse knows to contact the physician. What reading would warrant this action?
Correct answer
D
Rationale
Normal ICP is 5-15 mm Hg. A reading of 22 mm Hg (D) indicates elevated ICP, requiring immediate physician notification. Lower readings (A, B, C) are within or near normal.