10. A nurse is caring for a patient with increased intracranial pressure (ICP). The patient’s Glasgow Coma Scale (GCS) score has decreased from 10 to 7. What is the immediate nursing action?
A.
Elevate the head of the bed to 10 degrees
B.
Notify the physician immediately and prepare for interventions to lower ICP (e.g., hyperventilation, mannitol)
✓
C.
Administer a sedative
D.
Increase fluid intake
📖 Additional Information
Elevate the head of the bed to 10 degrees
Notify the physician immediately and prepare for interventions to lower ICP (e.g., hyperventilation, mannitol)
