Multiple Choice
While caring for a patient with a closed head injury,the nurse assesses the patient to be alert with a blood pressure 130/90 mm Hg,heart rate 60 beats/min,respirations 18 breaths/min,and a temperature of 102°F.To reduce the risk of increased intracranial pressure (ICP) in this patient,what is (are) the priority nursing action(s) ?
A) Ensure adequate periods of rest between nursing interventions.
B) Insert an oral airway and monitor respiratory rate and depth.
C) Maintain neutral head alignment and avoid extreme hip flexion.
D) Reduce ambient room temperature and administer antipyretics.
Correct Answer:
Verified
Correct Answer:
Verified
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