Final answer:
The priority intervention for increased ICP is continuous ICP monitoring to detect changes and guide treatment. Supine positioning may worsen ICP, and D5W could exacerbate cerebral edema, while opiate use requires a balance of considerations. The option (A) is correct.
Step-by-step explanation:
The priority nursing intervention when caring for a patient who has increased intracranial pressure (ICP) is continuous ICP monitoring. Continuous monitoring is essential for the timely detection of changes in ICP and for guiding treatment decisions. By closely monitoring ICP, healthcare professionals can intervene promptly to manage ICP and prevent further brain injury.
Placing the patient in a supine position can sometimes increase ICP and therefore is not typically recommended. Optimizing patient positioning usually involves elevating the head of the bed to improve venous drainage from the brain. Regarding IV fluids, D5W (5% dextrose in water) is generally not recommended because it can exacerbate cerebral edema. Instead, isotonic solutions are often used. Withholding opiates may be considered to protect respiratory status; however, this must be balanced with the need for adequate pain control and the potential for opiates to indirectly reduce ICP by providing sedation and reducing agitation.
This question is not complete. Here I am attaching the complete question:
Which nursing intervention is the priority when caring for a patient who has increased intracranial pressure (ICP)?
(A) Continuous ICP monitoring
(B) Placing the patient in a supine position
(C) Administration of D5W intravenous infusions
(D) Withholding opiates to protect respiratory status