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A Patient with Increased Intracranial Pressure After a Head Injury

Question 21

Multiple Choice

A patient with increased intracranial pressure after a head injury has a ventriculostomy in place. Which action can the nurse delegate to unlicensed assistive personnel (UAP) who regularly work in the intensive care unit?


A) Document intracranial pressure every hour.
B) Turn and reposition the patient every 2 hours.
C) Check capillary blood glucose level every 6 hours.
D) Monitor cerebrospinal fluid color and volume hourly.

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