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    Ati Med Surg Complex 2 Final Proctored Exam

    What is the best position the nurse can place the patient with increased intracranial pressure in?

    Explanation & Rationale

    Rationale: A. Elevating the head of the bed to 10 degrees is incorrect because 10 degrees is usually insufficient to promote optimal venous drainage from the brain. Keeping the head in a natural (turned) position can also impair venous return, potentially increasing ICP. B. Elevating the head of the bed to 30 degrees with the head in a neutral midline position is correct. This position promotes venous drainage from the brain, reduces intracranial pressure, and maintains cerebral perfusion. Neutral alignment prevents kinking of the jugular veins, which could impede venous outflow. Elevating the head too much (>45 degrees) can decrease cerebral perfusion, while flat positioning can worsen ICP. C. Keeping the head of the bed flat, even with the head in a neutral midline position, is incorrect because flat positioning increases venous congestion in the brain, which can raise ICP. D. Keeping the head of the bed flat with the head in a natural (turned) position is incorrect for the same reason as C and adds risk of impaired venous drainage due to rotation of the neck, which can further elevate ICP.

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