A nurse is caring for a pt with Increased intracranial pressure. What trend in the following vital signs would indicate the ICP is rising?
1. Increasing temp, increasing pulse, increasing respirations, decreasing blood pressure.
2.Increasing temp, decreasing pulse, decreasing resps, increasing bp
3.decreasing temp, decreasing pulse, increasing resps, decreasing bp
4.decreasing temp, increasing pulse, decreasing resps, increasing bp
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answer=2. Rationale= a change in vs is a late sign of ICP. the trends are...increase temp and bp, decrease pulse and resps. and resp irregularities.
(Saunders pp.961, 967)
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