A patient with suspected raised intracranial pressure becomes restless and reports worsening headache. Which nursing action best helps prevent further increases in intracranial pressure?
Correct answer: A. Keep the head midline and elevate the head of the bed
- A. Keep the head midline and elevate the head of the bed
- B. Place the patient flat and flex the neck forward
- C. Encourage repeated coughing to clear secretions
- D. Position the patient prone with the hips flexed
Explanation
A midline head position with moderate head elevation promotes venous drainage from the brain and may reduce intracranial pressure. Neck flexion, coughing, hip flexion and prone positioning can obstruct venous return or increase intrathoracic 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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