The nurse is caring for a client with client with traumatic brain injury. Which finding requires immediate follow-up?

Question

Accepted Answer

C. unequal pupils and decreasing level of consciousness — Unequal pupils and decreasing consciousness suggest rising ICP or herniation and require immediate intervention.

Answer

A. temperature 99 F (37.2 C)

Answer

B. restlessness after a noisy visitor enters

Answer

D. mild headache after coughing