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NCLEX-RN · Question #247

What is the appropriate nursing action for a child with increased intracranial pressure?

The correct answer is A. Head of bed elevated 45 degrees with child's head maintained in a neutral position. (A) Elevation of head of bed and neutral head position promote drainage of cerebrospinal fluid. (B) Flat position increases intracranial pressure and impedes cerebrospinal fluid drainage. (C) Head turned to either side impedes cerebrospinal fluid drainage. (D) Child should be…

Physiological Integrity: Reduction of Risk Potential

Question

What is the appropriate nursing action for a child with increased intracranial pressure?

Options

  • AHead of bed elevated 45 degrees with child's head maintained in a neutral position
  • BChild lying flat
  • CHead turned to side
  • DFrequent visitation for stimulation

How the community answered

(29 responses)
  • A
    90% (26)
  • B
    3% (1)
  • D
    7% (2)

Explanation

(A) Elevation of head of bed and neutral head position promote drainage of cerebrospinal fluid. (B) Flat position increases intracranial pressure and impedes cerebrospinal fluid drainage. (C) Head turned to either side impedes cerebrospinal fluid drainage. (D) Child should be in a calm, quiet environment with minimal stimulation.

Topics

#increased intracranial pressure#therapeutic positioning#ICP management#neurological nursing

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