160. A 1-year-old infant is admitted with a severe head injury. The infant’s pupils are unequal and fixed. What urgent critical nursing priority is paramount?
A.
Assessing for pain.
B.
Recognizing signs of increased intracranial pressure (ICP) and immediate brain herniation, requiring urgent neurosurgical intervention.
✓
C.
Checking for fever.
D.
Assessing for skin rash.
📖 Additional Information
Assessing for pain.
Recognizing signs of increased intracranial pressure (ICP) and immediate brain herniation, requiring urgent neurosurgical intervention.
