Rn ati comprehensive predictor 2023 proctored exam
A nurse is caring for a client who is experiencing increased intracranial pressure following a head injury. In which of the following positions should the nurse place the client?
Explanation & Rationale
A) Sims': This position is not ideal for clients with increased intracranial pressure (ICP) because it does not promote optimal venous drainage from the brain. B) Left lateral: While side-lying positions may be comfortable, they are not recommended for clients with increased ICP as they can hinder venous return from the head and neck. C) Supine: Lying flat can increase ICP due to decreased venous drainage. It is generally not recommended for managing elevated ICP. D) Low-Fowler's: This is the correct answer. Positioning the client in a Low-Fowler's position (typically with the head elevated 30 degrees) promotes venous drainage from the brain, which can help lower intracranial pressure and improve cerebral perfusion.
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