The nurse is turning and repositioning a patient diagnosed with a traumatic brain injury. Which of the following would be the best position for this patient?

1. neck in neutral alignment; hip flexion less than 90 degree angle
2. neck flexed to 60 degree angle
3. hip flexion at 120 degree angle; neck rotated to the left
4. neck rotated to the right; head of bed at 20 degree angle


1

Rationale: To facilitate venous return and prevent an elevation in intracranial pressure, the patient's neck should be placed in a neutral position with hip flexion at less than 90 degrees. The neck should not be flexed or rotated. The head of the bed should be kept at a 30 degree angle.

Nursing

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