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    Med surg proctored exam( neurorenaldiabetic)
    Select All That Apply

    Which of the following are nursing interventions related to body positioning when caring for a patient with increased ICP?

    Explanation & Rationale

    A. Elevate HOB to 30 degrees is correct because head-of-bed elevation promotes venous drainage from the brain, which can help reduce intracranial pressure. This position also supports adequate cerebral perfusion while avoiding neck flexion or extreme hip flexion, which can impair venous outflow and worsen ICP. B. Make sure patient has a bowel movement every day is incorrect in the context of body positioning. While preventing constipation is important in patients with increased ICP to avoid straining (Valsalva maneuver), it is not a direct positioning intervention. C. Turn patient with slow, gentle movements to prevent increase in ICP is correct because sudden or vigorous movements can transiently increase ICP. Gentle, coordinated turning and repositioning help minimize fluctuations in intracranial pressure and reduce the risk of neurological deterioration. D. Place patient in prone position every 2 hours is incorrect because prone positioning is generally avoided in patients with increased ICP. Prone positioning can impair venous return from the brain, increase ICP, and compromise airway management. Lateral or supine positioning with head elevation is preferred.

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