The nurse is caring for a client with client with an EVD. Which finding requires immediate follow-up?

Question

Accepted Answer

B. sudden lack of drainage with decreased responsiveness — A sudden stop in CSF drainage with neurologic decline may reflect obstruction or over/underdrainage and requires prompt evaluation.

Answer

A. ICP waveform visible on monitor

Answer

C. head of bed maintained at 30 degrees

Answer

D. clear CSF draining into the chamber