What symptom should be monitored closely in a client with increased intracranial pressure (ICP)?

Monitoring changes in consciousness in a client with increased intracranial pressure (ICP) is critical because consciousness is a key indicator of brain function and overall neurological status. Increased ICP can lead to a variety of serious complications, including cerebral herniation, where parts of the brain are forced out of their normal position due to pressure. Changes in cognitive state—from confusion and drowsiness to complete loss of consciousness—can signify worsening conditions that require immediate medical intervention.

While muscle strength, reflexes, and coagulation are important aspects of neurological assessment, they do not provide as direct or immediate insight into the client’s brain status as consciousness does. For instance, increased muscle strength or heightened reflexes may not necessarily indicate a problem in the context of ICP, and improved coagulation does not relate directly to the effects of increased intracranial pressure. Therefore, closely monitoring changes in consciousness allows for timely identification and management of potential complications associated with increased ICP.