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Exam NCLEX-RN topic 3 question 84 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 84
Topic #: 3
[All NCLEX-RN Questions]

What is the appropriate nursing action for a child with increased intracranial pressure?

  • A. Head of bed elevated 45 degrees with child’s head maintained in a neutral position
  • B. Child lying flat
  • C. Head turned to side
  • D. Frequent visitation for stimulation
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Suggested Answer: A 🗳️
(A) Elevation of head of bed and neutral head position promote drainage of cerebrospinal fluid. (B) Flat position increases intracranial pressure and impedes cerebrospinal fluid drainage. (C) Head turned to either side impedes cerebrospinal fluid drainage. (D) Child should be in a calm, quiet environment with minimal stimulation.

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