Case study: Traumatic brain injury with rising intracranial pressure. A 29-year-old with head trauma becomes more restless. The client now has unequal pupils and is difficult to arouse. Which finding in this case is the highest priority for the nurse to address first?

Question

Accepted Answer

A. signs of increasing intracranial pressure — In this case, the highest-priority finding is signs of increasing intracranial pressure because it most directly threatens safety or signals clinical deterioration.

Answer

B. mild nausea from medications

Answer

C. request for quieter room

Answer

D. dry lips from oxygen