Difficulty: Medium
Average Score: 75%
Simulated
The nurse should place a client who sustained a head injury in which position to prevent increased intracranial pressure (ICP)?
Correct answer
D
Rationale
The client with a head injury is positioned to avoid extreme flexion or extension of the neck and to maintain the head in the midline, neutral position. The head of the bed is elevated to at least 30 degrees or as recommended by the primary health care provider. The client is log rolled when turned to avoid extreme hip flexion.