A client is receiving treatment for a head injury. Which of the following would the nurse do related to positioning to reduce the risk of further injury?
A) Maintain the client in a sitting position for as long as possible.
B) Elevate the rest of the client's body slightly above the neck and head.
C) Position the neck and head in line with the rest of the client's body.
D) Elevate the client's head slightly while keeping the neck neutral.
D
Feedback:
In cases of head injury, the nurse should elevate the client's head slightly while keeping the neck neutral to reduce the risk of further injury because of increased intracranial pressure. Maintaining the client in a sitting position or elevating the rest of the client's body slightly above the neck and head may cause discomfort to the client. On the other hand, if the neck and the head are positioned in line with the rest of the client's body, the risk of further injury to the client will not be reduced.
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