The nurse is providing care to a patient with an intracranial pressure monitoring device. What is a priority when providing care to this patient?
1. Monitor intracranial pressure every 4 hours.
2. Perform neurologic assessment checks every 2 hours.
3. Use clean technique when working with the system.
4. Use strict aseptic technique when working with the system.
4
Rationale 1: Pressure would be monitored every hour.
Rationale 2: Neurologic assessment checks would be monitored every hour.
Rationale 3: Clean technique could cause the patient to develop an infection.
Rationale 4: The most common complication in patients with intracranial monitoring devices is infection. To avoid infection, the nurse should maintain strict aseptic technique when working with the system.
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