Case study: Traumatic brain injury with rising intracranial pressure. Based on the current assessment, what is the nurse's priority action?

Question

Accepted Answer

C. maintain airway support and elevate the head of the bed with the neck midline while getting help — The priority action is to maintain airway support and elevate the head of the bed with the neck midline while getting help because this addresses the immediate risk in the case.

Answer

A. encourage the client to rest and increase oral intake

Answer

B. document the finding as expected and reassess in 1 hour

Answer

D. complete routine care before notifying the provider