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BS Nursing Critical Care Nursing
nmdcat.online June 6, 2026

21. A patient with a severe traumatic brain injury has an ICP of 25 mmHg. What is the most urgent nursing intervention to manage ICP?

A. Increase the patient's stimulation
B. Maintain head of bed at 30 degrees, ensure neck alignment, and administer mannitol/hypertonic saline as ordered
✓
C. Administer a sedative
D. Administer a fluid bolus

📖 Additional Information

  • Increase the patient's stimulation
  • Maintain head of bed at 30 degrees, ensure neck alignment, and administer mannitol/hypertonic saline as ordered
  • Administer a sedative
  • Administer a fluid bolus

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