The nurse is monitoring a client's intracranial pressure (ICP) with an intraventricular catheter. Which of the following information obtained by the nurse is most important to communicate to the health care provider?
A)Oral temperature 38.7°C (101.7°F)
B)Apical pulse 102 beats/minute
C)Intracranial pressure 15 mm Hg
D)Mean arterial pressure 90 mm Hg

Question

Quizplus · Accepted Answer

Infection is a serious consideration with ICP monitoring, especially with intraventricular catheters. The temperature indicates the need for antibiotics or removal of the monitor. The ICP, arterial pressure, and apical pulse are all borderline high but require only ongoing monitoring at this time.

The Nurse Is Monitoring a Client's Intracranial Pressure (ICP) with an Intraventricular