Difficulty: Medium
Average Score: 73%
Simulated
A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed head injury. Which of the following actions should the nurse take?
Correct answer
D
Rationale
The correct answer is D: Place the client in a supine position. Placing the client in a supine position helps promote venous drainage from the brain, which can help reduce intracranial pressure. This position also helps maintain cerebral perfusion pressure.
Choice A is incorrect because log rolling can increase ICP due to the movement involved. Choice B is incorrect as coughing and deep breathing can also raise ICP. Choice C is incorrect because a warming blanket can lead to vasodilation and increased blood flow to the brain, potentially worsening ICP.
Choice A is incorrect because log rolling can increase ICP due to the movement involved. Choice B is incorrect as coughing and deep breathing can also raise ICP. Choice C is incorrect because a warming blanket can lead to vasodilation and increased blood flow to the brain, potentially worsening ICP.