Traumatic Brain and Spinal Cord Injury · NCLEX Exam

How should a nurse appropriately care for a TBI patient who had a decompressive craniectomy?

  1. Sit the patient upright, check the catheter for blockage, and monitor BP
  2. Lay the patient flat and restrict their fluid intake
  3. Administer an analgesic and continue routine monitoring
  4. Reassure the patient as it will resolve without intervention
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Correct answer: Sit the patient upright, check the catheter for blockage, and monitor BP

Post-craniectomy care involves head elevation to reduce ICP and protecting the surgical site with ongoing neuro checks.

Difficulty: Hard Question 19 of 20

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