Traumatic Brain and Spinal Cord Injury · NCLEX Exam

When a TBI patient's intracranial monitoring shows ICP > 20 mmHg for an extended period, what is an appropriate nursing action?

  1. Lower the head of the bed to a flat supine position
  2. Keep the head midline, elevate to 30°, and maintain normocapnia
  3. Intentionally raise CO₂ to promote cerebral vasodilation
  4. Reduce sedation and allow frequent patient stimulation
Show answer and explanation

Correct answer: Keep the head midline, elevate to 30°, and maintain normocapnia

Managing elevated ICP includes positioning (head elevation, midline), avoiding stimulation, and maintaining normal CO₂ levels.

Difficulty: Hard Question 10 of 20

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