62. A nurse is managing a patient with an external ventricular drain (EVD). The ICP reading suddenly spikes from 12 mmHg to 30 mmHg. What is the immediate nursing action?
A.
Clamp the EVD
B.
Assess for causes (e.g., agitation, coughing, EVD obstruction), ensure proper EVD drainage, and notify physician
✓
C.
Lower the head of the bed
D.
Administer more fluid
📖 Additional Information
Clamp the EVD
Assess for causes (e.g., agitation, coughing, EVD obstruction), ensure proper EVD drainage, and notify physician