Question

An unconscious pt has a nursing diagnosis of ineffective cerebral perfusion related to cerebral tissue swelling. What nursing intervention will be included in the plan of care?

Option 1: Encouraging the pt to talk
Option 2: Administering antibiotics
Option 3: Elevating the head of the bed
Option 4: Providing a high-sugar diet

Answer 1

The most appropriate nursing intervention for a patient with ineffective cerebral perfusion related to cerebral tissue swelling is to elevate the head of the bed.

Step-by-step explanation:

An unconscious patient with a nursing diagnosis of ineffective cerebral perfusion related to cerebral tissue swelling would benefit most from elevating the head of the bed (Option 3). This position helps reduce intracranial pressure and promotes venous drainage from the brain, hence improving cerebral perfusion. Option 1, encouraging the patient to talk, is not applicable because the patient is unconscious. Option 2, administering antibiotics, is not specified as part of treatment for cerebral tissue swelling in this scenario unless there is an associated infection. Option 4, providing a high-sugar diet, would not be appropriate as high levels of sugar can lead to osmotic diuresis, which can exacerbate dehydration and potentially worsen cerebral edema.