Difficulty: Medium
Average Score: 67%
Simulated
A nurse is assisting in the planning of preventative care for a client who is restless following a traumatic brain injury with increased intracranial pressure. Which of the following is an appropriate nursing action?
Correct answer
C
Rationale
Reducing stimuli (e.g., noise, light, visitors) calms the client and prevents further increases in intracranial pressure. Opioids, restraints, or complete darkness may be inappropriate or less effective.