Question

The patient with increased ICP from a brain tumor is being monitored with a ventriculostomy. What nursing intervention is the priority in caring for this patient?

A. Administer IV mannitol (Osmitrol).
B. Ventilator use to hyperoxygenate the patient
C. Use strict aseptic technique with dressing changes.
D. Be aware of changes in ICP related to leaking CSF.

Answer 1

The top priority for a patient with higher ICP and a ventriculostomy is to maintain strict aseptic technique during dressing changes to prevent infections.

Step-by-step explanation:

The priority nursing intervention for a patient with increased ICP (intracranial pressure), who is being monitored with a ventriculostomy, is to use strict aseptic technique with dressing changes. This is essential to prevent infection, which could lead to further complications. Ventriculostomies involve direct access to the brain's ventricular system, making it critical to maintain a sterile environment. While administering IV mannitol and ventilator use are important interventions, they are not the priority in this scenario. Continual monitoring for changes in ICP, particularly in relation to potential CSF leakage, is also important in providing comprehensive care for these patients.