The client is 6 hours postoperative from a craniotomy. When monitoring vital signs, a nurse observes the client to have periorbital edema and ecchymosis around both eyes. What is the nurse's best first action?
A. Elevate the head of the bed to 60 degrees.
B. Apply an ice pack to the affected area.
C. Document the finding as the only action.
D. Notify the physician.
B
Periorbital edema and ecchymosis are expected after a craniotomy. The nurse attempts to increase the client's comfort by reducing the swelling with application of ice.
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