A Patient Admitted with a Diffuse Axonal Injury Has a Systemic

question 18

Multiple Choice

A patient admitted with a diffuse axonal injury has a systemic blood pressure (BP) of 106/52 mm Hg and an intracranial pressure (ICP) of 14 mm Hg. Which action should the nurse take first?

• A)Document the BP and ICP in the patient's record.
• B)Report the BP and ICP to the health care provider.
• C)Elevate the head of the patient's bed to 60 degrees.
• D)Continue to monitor the patient's vital signs and ICP.

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Definitions:

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