The nurse is to record the intake and output of a 2-year-old patient. The patient is not toilet trained. Which measure would be most appropriate to include in the patient's plan of care?

Choice A rationale:

Increased respirations are not a specific symptom of increased intracranial pressure (ICP). They might occur due to other respiratory or metabolic issues.

Choice B rationale:

Widened pulse pressure (the difference between systolic and diastolic blood pressure) is a sign of increased ICP. It results from increased systolic pressure due to the body's attempt to compensate for the rising pressure within the skull.

Choice C rationale:

Prolonged capillary refill is indicative of decreased peripheral perfusion or shock, which can be caused by various factors but is not directly related to ICP.

Choice D rationale:

Decreased blood pressure is not a consistent symptom of increased ICP. In fact, widened pulse pressure is more characteristic.

Choice A rationale:

An adult's immune system does not prevent infection with Rotavirus. Adults can also be infected, although the severity of illness tends to be milder than in infants and young children.

Choice B rationale:

The highest rates of Rotavirus illness do occur in infants and young children. This is because young age groups have a lower level of immunity and are more susceptible to severe infections.

Choice C rationale:

The best treatment to prevent Rotavirus transmission is appropriate hand washing. Rotavirus is highly contagious and can be transmitted through contaminated hands, surfaces, and objects.

Choice D rationale:

Epidemics of Rotavirus do not specifically occur in the months from November to April. Rotavirus infections can occur throughout the year, with seasonal variation.