The nurse is caring for a patient with an intracranial pressure monitoring device. For which priority problem should the nurse plan care for this patient?
1. possible infection
2. confusion
3. changes in skin integrity
4. changes in mobility status
Correct Answer: 1
Intracranial monitoring is more invasive than other monitoring devices and disrupts skin and skeletal barriers. It is often used on patients with impaired immune defenses. It necessitates frequent flushing and monitoring and may be an open system, which offers increased opportunity for pathogens to enter and grow. Confusion, skin integrity, and mobility status are not considered priority problems for the patient with an intracranial pressure monitoring device.
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