Question

A patient on the intensive care unit has increased intracranial pressure (ICP) and a decreased level of consciousness. What actions should the nurse perform to prevent injury to the patient? Select all that apply.

-Consider the use of light sedation agents.

-Observe the skin area under the restraints.

-Use a stimulating environment in the room.

-Keep family members away from the patient.

-Use effective restraints in an agitated patient.

Answer 1

To prevent injury to a patient with increased intracranial pressure and a decreased level of consciousness, the nurse should consider using light sedation agents, observe the skin under restraints, and use effective restraints in an agitated patient.

Step-by-step explanation:

When a patient on the intensive care unit has increased intracranial pressure (ICP) and a decreased level of consciousness, it is important for the nurse to take certain actions to prevent injury to the patient. The nurse should consider the use of light sedation agents to help manage the increased ICP and promote comfort. The nurse should also observe the skin area under the restraints to monitor for any signs of skin breakdown or injury. Additionally, it is important to use effective restraints in an agitated patient to prevent them from accidentally harming themselves or removing necessary medical equipment.