A nurse is caring for a client who suffering from bilateral subdural hematomas whose ICP has been ranging from 15-20 mm Hg. Which of the following orders should the nurse question?

The nurse is caring for a client with a brain tumor. The client has an altered level of consciousness and is experiencing bradycardia, bradypnea, and a widening pulse pressure. Which of the following interventions are appropriate for this client? Select all that apply.

A client who has experienced a head injury is being cared for by the nurse in the ICU. The client has a monitor in place to check intracranial pressure and the nurse notes that the pressure is increasing. Which of the following interventions by the nurse should be done to control increasing intracranial pressure?

A client is in the emergency room for a traumatic brain injury, caused by a fall. The nurse sees an order for mannitol and knows that this medication is used as primarily for as which of the following?

An early sign of increased intracranial pressure includes which of the following?

The nurse is caring for a ventilated client with increased intracranial pressure following a motor vehicle accident. The nurse monitors the PaCO2 to ensure it remains between 30-35 mm Hg. Which of the following is an expected outcome at this range of PaCO2? Select all that apply.

A 28-year-old client has been brought into the emergency department after suffering a closed head injury from a fall. The client is demonstrating signs of the Cushing reflex. Based on the nurse’s understanding of this condition, the nurse knows to look for which of the following signs?

A nurse is caring for an 8-year-old child in the ICU who has suffered a neurological injury. The nurse is monitoring the child’s intracranial pressure through the monitor and notes that it is normally about 17 to 18 mmHg but then jumps to 24 mmHg for several minutes when the nurse suctions the client’s endotracheal tube. Which of the following interventions is most appropriate?

A nurse comes on to her shift in the ICU where she is assigned a client with a head injury. The client requires a ventilator and has a monitor in place to check intracranial pressure. As the nurse enters the room, the pressure monitor alarms that the client’s intracranial pressure is rising. In response, the nurse should do which of the following?

The nurse receives report on a client on blood thinners who fell down the stairs and has periorbital ecchymosis. The head CT came back with an intracerebral hemorrhage. Which of the following is the most important to monitor closely?