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The Nurse Is Caring for a Client Who Has a Systemic

Question 35

Multiple Choice

The nurse is caring for a client who has a systemic BP of 108/51 mm Hg and an intracranial pressure (ICP) of 14 mm Hg. Which of the following actions should the nurse take first?


A) Elevate the head of the client's bed to 60 degrees.
B) Document the BP and ICP in the client's record.
C) Report the BP and ICP to the health care provider.
D) Continue to monitor the client's vital signs and ICP.

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