131. A patient with a severe traumatic brain injury has an ICP of 20 mmHg. The nurse observes the patient has a decreased level of consciousness. What is the critical nursing action?
A.
Increase environmental stimulation
B.
Assess for neurological deterioration, notify physician, and prepare for interventions to lower ICP
✓
C.
Administer a sedative without assessment
D.
Administer a diuretic
📖 Additional Information
Increase environmental stimulation
Assess for neurological deterioration, notify physician, and prepare for interventions to lower ICP
