1 of 160

The nurse is completing the admission assessment of a 3-year-old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)?

A

Tachycardia and tachypnea

Sluggish and unequal pupillary responses

Increased head circumference and buiging fontanels.

Blood pressure fluctuations and syncope.

C

D

I placed the Red dot on the base of the neck on the right side.

2 of 160

A clerit with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum amylase. Which additional information is the client most kary to report to the nurse?

A

B

Abdominal pain decreases when lying supine.

Pain lasts an hour and leaves the abdomen tender.

Right upper quadrant pain refers to right scapula.

Drinks alcohol until intoxicated at least twice weekly.

D