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A patient who experienced a cerebral hemorrhage is at risk for developing increased ICP. Which sign and symptom below is the EARLIEST indicator the patient is having this complication? aBradycardia bDecerebrate posturing cRestlessness dUnequal pupil size

Question

A patient who experienced a cerebral hemorrhage is at risk for developing increased ICP. Which sign and symptom below is the EARLIEST indicator the patient is having this complication? aBradycardia bDecerebrate posturing cRestlessness dUnequal pupil size

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Solution

The earliest indicator that a patient who experienced a cerebral hemorrhage is developing increased Intracranial Pressure (ICP) is cRestlessness.

Here's why:

aBradycardia (abnormally slow heart action) and dUnequal pupil size are usually later signs of increased ICP.

bDecerebrate posturing (an abnormal body posture that involves the arms and legs being held straight out, the toes being pointed downward, and the head and neck being arched backward) is a severe sign of damage to the brain, but it's not typically the earliest sign of increased ICP.

cRestlessness can be an early sign of discomfort or distress in the patient, which could be due to the increased pressure in the brain. Therefore, restlessness is often the earliest indicator of increased ICP in a patient who has experienced a cerebral hemorrhage.

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