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A client with a history of herpes and hepatitis presented yesterday to the emergency department with fever, headache, and a stiff neck. The client was transferred to the intensive care unit with a diagnosis of encephalitis. Intravenous (IV) fluids are infusing at 125 mL/hour and intracranial pressure (ICP) is being monitored. Which assessment finding warrants immediate intervention by the nurse? Reference Range Intracranial Pressure [Reference Range: 7 to 15 mm Hg D A Moderate sensitivity to light. B Core body temperature 101.2° F (38.4° C). C Intracranial pressure 10 mm Hg. D Average urine output 10 mL/hour.
SCIENCE
HEALTH SCIENCE
NURSING

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