A Client Who Is Being Observed for Signs of Increasing

question 26

Multiple Choice

A client who is being observed for signs of increasing intracranial pressure (ICP) after a head injury requires suctioning for copious secretions.The nurse must remember which of the following?

• A)Nasal suctioning is prohibited for this client.
• B)Suction pressure should be limited to 80 to 100 mm H2O for this client.
• C)A vagal response may be elicited from suctioning,resulting in an increased ICP.
• D)Free-flow oxygen should be provided when suctioning the client.

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