The nurse is caring for a client with increased intracranial pressure (ICP). What interventions does the nurse include in the client's plan of care? (Select all that apply.)

Question

Quizplus · Accepted Answer

The nurse provides interventions to decrease or prevent an increase in ICP. These include a calm, quiet environment; clustering nursing care; avoiding rectal stimulation; avoiding restraints if possible; maintaining the client in a midline position without flexion of the extremities or neck; raising the head of the bed to 30 degrees if not contraindicated; and controlling the client's and room's temperature so the client remains normothermic.

The Nurse Is Caring for a Client with Increased Intracranial