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

A Tachycardia and tachypnea

B Sluggish and unequal pupillary responses.

C

Increased head circumference and bulging fontanels.

D Blood pressure fluctuations and syncope.

2 of 160

A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated sarum amylase. Which additional information in the chand most kely to repor nurse?

A Abdominal pain decreases when lying supine.

B Pain lasts an hour and leaves the abdomen tender.

C Right upper quadrant pain refers to right scapula.

D Drinks alcohol until intoxicated at least twice weekly.