Question

The nurse has just admitted to the nursing unit a client with a basilar skull fracture who is at risk for increased intracranial pressure (ICP). Pending specific health care provider prescriptions, the nurse should plan to place the client in which positions? Select all that apply.

1.Head midline
2.Neck in neutral position
3.Flat, with head turned to the side
4.Head of bed elevated 30 to 45 degrees
5.Head of bed elevated with the neck extended

Answer 1

The nurse should plan to place the client with a basilar skull fracture at risk for increased intracranial pressure in positions including head midline, neck in neutral position, and head of bed elevated 30 to 45 degrees.

Step-by-step explanation:

The nurse should plan to place the client in the following positions:

1. Head midline: This helps maintain proper alignment of the head and neck.
2. Neck in neutral position: This helps prevent further injury to the spine.
3. Head of bed elevated 30 to 45 degrees: This helps promote venous drainage and reduce intracranial pressure.

Placing the client flat, with the head turned to the side or with the neck extended can worsen the risk of increased intracranial pressure.