Trauma Nursing: Head and Spinal Cord Injury · NCLEX Exam

Why is monitoring intracranial pressure (ICP) recommended for head-injured patients?

  1. The patient is fully conscious with a GCS of 15 and normal CT
  2. GCS below 9 with CT abnormalities such as swelling or midline shift
  3. The patient is fully conscious with no neurologic deficit
  4. The patient has only an isolated, uncomplicated limb fracture
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Correct answer: GCS below 9 with CT abnormalities such as swelling or midline shift

ICP monitoring is indicated in patients with severe TBI (GCS ≤ 8 or 9) and CT evidence of swelling/herniation to guide management.

Difficulty: Medium Question 6 of 18

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