A Patient Has a Systemic BP of 108/51 Mm Hg

question 16

Multiple Choice

A patient has a systemic BP of 108/51 mm Hg and an intracranial pressure (ICP) of 14 mm Hg. Which action should the nurse take first?

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