A patient with a head injury has increasing drowsiness but is breathing independently and has stable vital signs. Which positioning action is most appropriate while urgent review is arranged?
Correct answer: A. Elevate the head about 30 degrees and keep the neck midline
- A. Elevate the head about 30 degrees and keep the neck midline
- B. Place the patient flat with the neck turned toward the side
- C. Flex the hips sharply to improve venous drainage
- D. Place the patient prone with the head lower than the chest
Explanation
Head elevation with a neutral neck promotes venous drainage from the brain and may reduce intracranial pressure. Neck rotation, hip flexion, and head-down positioning can obstruct venous return and worsen pressure.
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About Neurological Nursing
Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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