A 6-year-old child with a severe head injury is admitted to the pediatric intensive care unit. The child has i…

Question

A 6-year-old child with a severe head injury is admitted to the pediatric intensive care unit. The child has increased intracranial pressure (ICP) and is receiving mechanical ventilation. Which nursing intervention is the priority to prevent further increases in ICP?

Accepted Answer

보기 2: Maintain the head of bed elevated at 30 degrees with head in neutral alignment

Elevating the head of bed to 30 degrees with neutral alignment optimizes venous drainage and reduces ICP, directly addressing the pathophysiology. Other options are important but less immediate for ICP control.

Answer

보기 1: Perform frequent neurological assessments every 15 minutes

Answer

보기 3: Suction the endotracheal tube every 2 hours to prevent secretion buildup

Answer

보기 4: Encourage family members to talk to the child to provide stimulation

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A 6-year-old child with a severe head injury is admitted to the pediatric intensive care unit. The child has increased intracranial pressure (ICP) and is receiving mechanical ventilation. Which nursing intervention is the priority to prevent further increases in ICP?

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