The nurse is caring for a mechanically ventilated patient with a sustained ICP of 18 mm Hg.The nurse needs to perform an hourly neurological assessment,suction the endotracheal tube,perform oral hygiene care,and reposition the patient to the left side.What is the best action by the nurse?
A) Hyperoxygenate during endotracheal suctioning.
B) Elevate the patient's head of the bed 30 degrees.
C) Apply bilateral heel protectors after repositioning.
D) Provide rest periods between nursing interventions.

Question

Quizplus · Accepted Answer

Sustained increases in ICP lasting longer than 5 minutes should be avoided.This is accomplished by spacing nursing care activities to allow for rest between activities.All other nursing actions are a part of the patient's plan of care; however,spacing out interventions is the priority.

The Nurse Is Caring for a Mechanically Ventilated Patient with a Sustained