After Endotracheal Suctioning,the Nurse Notes That the Intracranial Pressure for a Patient

question 7

Multiple Choice

After endotracheal suctioning,the nurse notes that the intracranial pressure for a patient with a traumatic head injury has increased from 14 to 17 mm Hg.Which action should the nurse take first?

• A) Document the increase in intracranial pressure.
• B) Ensure that the patient's neck is in neutral position.
• C) Notify the health care provider about the change in pressure.
• D) Increase the rate of the prescribed propofol (Diprivan) infusion.

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Definitions:

Adaptive

Characterized by the ability to adjust effectively to new conditions or to those changes in one's environment.

Maladaptive

Behaviors or thought patterns that are counterproductive or interfere negatively with functioning and well-being.

Stress Tolerance

The ability to cope with and withstand stress and adversity.

General Adaptation Syndrome

A three-phase process (alarm, resistance, and exhaustion) that describes the body's response to stress.