The nurse is determining ways to decrease environmental stimuli for a client with increased intracranial pressure. What actions should the nurse take to support this client's care need?
Select all that apply.
A) Limit the client's visitors.
B) Teach family to speak softly and minimize touching.
C) Elevate the head of the bed.
D) Provide all care quickly at one time to provide periods of rest.
E) Keep the room dark and quiet.
Answer: A, B, E
A dark, quiet room is important to reduce stimuli. Family members should be encouraged to talk to the client in a soft voice with minimal touching. Visitors should be limited. Care should be provided throughout the day for short periods of time to limit extended stress and stimulation. Elevating the head of the bed is important to reducing intracranial pressure but has no effect on stimulation.
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