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ATI RN Medical Surgical Med Surg A with rationales Exam Retake 2
A nurse is caring for a client who has a closed head injury and has an intraventricular 
catheter placed. Which of the following findings indicates that the client is experiencing 
increased intracranial pressure (ICP)? (Select all that apply.) 
A. Flat jugular veins 
B. A Glasgow Coma Scale score of 15 
C. Sleepiness exhibited by the client 
D. Widening pulse pressure 
E. Decerebrate posturing - C, D, E 
 
Flat jugular veins is incorrect. With increased ICP, the jugular veins are typ...
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- Exam (elaborations)
- • 24 pages •
A nurse is caring for a client who has a closed head injury and has an intraventricular 
catheter placed. Which of the following findings indicates that the client is experiencing 
increased intracranial pressure (ICP)? (Select all that apply.) 
A. Flat jugular veins 
B. A Glasgow Coma Scale score of 15 
C. Sleepiness exhibited by the client 
D. Widening pulse pressure 
E. Decerebrate posturing - C, D, E 
 
Flat jugular veins is incorrect. With increased ICP, the jugular veins are typ...