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

40. A patient with a traumatic brain injury has a ICP bolt placed. The nurse observes bleeding around the insertion site. What is the immediate nursing action?

A. Apply a warm compress
B. Apply sterile pressure dressing, reinforce, and notify physician
C. Administer an anti-coagulant
D. Remove the ICP bolt

📖 Additional Information

  • Apply a warm compress
  • Apply sterile pressure dressing, reinforce, and notify physician
  • Administer an anti-coagulant
  • Remove the ICP bolt

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