A patient admitted with a head injury has admission vital signs of temperature 98.6° F (37° C), blood pressure 128/68, pulse 110, and respirations 26. Which of these vital signs, if taken 1 hour after admission, will be of most concern to the nurse? Show Sets with similar termsHow do you manage increased intracranial pressure?When intracranial pressure becomes elevated, it is important to rule out new mass lesions that should be surgically evacuated. Medical management of increased intracranial pressure should include sedation, drainage of cerebrospinal fluid, and osmotherapy with either mannitol or hypertonic saline.
Which intervention should the nurse implement to prevent an increase in intracranial pressure quizlet?Elevating the head of the bed will lower the ICP but may also lower cerebral blood flow and further decrease CPP. Changes in pupil response to light are signs of increased ICP, so the nurse will only take more time doing this without adding any useful information. a. high blood flow to the brain.
Which positions is used to help reduce intracranial pressure ICP?In most patients with intracranial hypertension, head and trunk elevation up to 30 degrees is useful in helping to decrease ICP, providing that a safe CPP of at least 70 mmHg or even 80 mmHg is maintained.
Which option is the most sensitive indication of increased ICP?The answer is C. Mental status changes are the earliest indicator a patient is experiencing increased ICP.
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Which nursing action should be implemented in the care of a patient who is experiencing increased ICP?
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