A nurse is caring for a client who has sustained a traumatic brain injury. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?

Choice A reason: Hypotension is not a sign of increased ICP; hypertension is part of Cushing’s triad. Low blood pressure may indicate shock, not ICP, making this incorrect for monitoring brain injury. Choice B reason: Decreased level of consciousness is a primary sign of increased ICP, reflecting brain compression. It’s a critical indicator requiring immediate action, making this the correct manifestation to monitor. Choice C reason: Tachypnea is not typical of ICP; irregular or slow respirations occur in Cushing’s triad. Rapid breathing is unrelated, making this incorrect for increased ICP manifestations. Choice D reason: Bilateral weakness may occur in neurological conditions but is less specific to ICP than altered consciousness. ICP primarily affects alertness, making this incorrect for monitoring.